Please respond if you would be interested, I'll put up my requirements and everything If someone is interested and can do it.
Basicly it will be like a survey, the page will have a question on it, the form fields will be: Answer (required), Name (required), Email (optional if phone is filled), Phone number(optional if email is filled),Zip code, Refferal Number (required), and also a text field for about a paragraph of text, to be sent to a predetermend email (which must not be visible in the code). Needs to check and make sure either the phone number is given OR the email. one or the other must be filled in.
My site is hosted on godaddy, and currently installed with php 5.
Extras that might warrant a bonus.
-Would also be nice if it has an auto responder to those that include an email address.
-Checks to validate phone numbers, email, zip.
-A very well written, safe, reliable script. that needs little to no modifications.
Payment Via Paypal only.


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