This is a very easy project and should take less than an hour. If you want to use an open source script it’s okay.
We just need a simple php (or asp) form that sends to MySQL database on our server.
* The form & database has 10 fields.
* After submission the form should redirect to a url.
* The form should also send one autoreply email to the customer.
Also The page for the form to sit on is built (in html) and on the server. It just needs the form. (so This requires no design work).
We pay by GAF escrow after the form is loaded and working.