Need php form that can fit in a wordpress blog.
This form will be placed in wordpress default blog page.
Need project done fast
I will need the following information for the form.
Is this your primary residence?
1st mortgage amount
2nd mortgage amount
3rd mortgage amount
Are you behind on payments?
If yes, how many months?
(make this a box for them to type)
----Tell us a little about your situation----
(make this a box to type)
**Your information is kept completely confidential. This is a simple inquiry form so that we can better understand your situation. You can always call us at 949-363-5055 if you would prefer.
I will need the following for this form.
How did you hear about us?
(drop down box with)
- Internet/Search Enngine
- Direct Mail
- Other ___________ (type box_