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2622 simple mortgage lead site

Hello, I just purchased a mortgage lead site, had it uploaded, and it really is not what i am looking for. Now to start from scratch :( I want it simple, example : [url removed, login to view]?KNC-overture the only additions i need to the form is percentage rate paying now, and orrigination date of existing loan. form boxes needed: First Name: Last Name: Email Address: Phone: Estimated Credit: ** -Choose One- excelent, good, fair, poor Type of Loan: **-Choose One- Refinance Purchase Home Equity Loan Property State: **-Choose One- list state abrev. What Is Your Home Worth? $ Current Mortgage Balance: $ 2nd Mortgage Balance: $ How Much Additional Cash Would You Like to Borrow? current interest rate? start date of current loan? ** -choose one- denotes a dropdown box (does not have to be, your choice how to do it) The form when submitted will be sent to email, and a confirmation page will appear. also contact page needed. I want generic site done with all the source code for future leads sites we may do, and the finnished product installed on our hosting account. The finished site can be as simple as the one provided as an example, or if you want to wow me it is up to you, but simple is the minimum. I hope i included enough info, will answer any questions fast as posible. Brian

Taidot: kaikki käy, MySQL, PHP, SQL, verkkosivujen suunnittelu

Näytä lisää: what really needed when i want to be a design, want lead, tc page, looking for 2nd lead, how much am i worth, cash account balance, borrow me, lead box, wow-how, mortgage leads, leads loan property, php form dropdown list, wow php, contact dropdown, list loan email, purchase leads, loan property leads, choice php questions answer, phone credit leads, simple aspx page example, simple phone email, generic phone, leads looking property, need home loan lead, home loan form design

About the Employer:
( 28 reviews ) Spring Grove, United States

Projektin tunnus: #1753491

Myönnetty käyttäjälle:

somulancer

Hello, I can help you with this porject. Thanks, Anil Guha.

110 $ USD 3 päivässä
(105 arvostelua)
6.5