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Build a Simple Squeeze Page

I need a simple one page built that will have a lead form similar to this one here:

[url removed, login to view]

I have the ebook cover designed already and will provide you the form action from my GetResponse code, so you just design this and implement the code.

You will also need to create the simple second page after submitting the form.

Skills: Design, HTML, PHP, Software Architecture, Software Development

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About the Employer:
( 250 reviews ) Ft Myers Beach, United States

Project ID: #15344641

57 freelancers are bidding on average $125 for this job

ambalaonline1

Hello I have checked the squeeze [url removed, login to view] let me know what product you want to show on this [url removed, login to view] it be the coffee?Please let me know the color scheme to be used. Relevant Skills and Experience http://myleaseon More

$166 USD in 1 day
(368 Reviews)
8.1
raoasghar

Hi Sure i will develop responsive simple one page built that will have a lead form similar to this one here: [url removed, login to view] Can we start please Relevant Skills and Experience Web programming Experience : 8 yea More

$200 USD in 2 days
(236 Reviews)
7.3
usatechsoft

I have done same work for my client please check my work i Have 12 years working experience in web work Please check our client reviews to determine the quality of our work. Relevant Skills and Experience http:/ More

$155 USD in 3 days
(120 Reviews)
7.3
hawkscodeaus

Web developer, 7+ yrs of experience in development and designing Relevant Skills and Experience I am good in HTML, CSS, PHP*(Laravel, ASP.net, C#, YII, CakePHP, Codeigniter), HTML*,CSS, MySQL, Ms-SQL,Twitter BootStrap More

$177 USD in 3 days
(87 Reviews)
7.0
webcolonizer

HI, I UNDERSTAND PERFECTLY YOUR NEEDS AND I AM READY TO START RIGHT NOW. I HAVE STRONG KNOWLEDGE IN XHTML, CSS, JQUERY, AJAX, [url removed, login to view] SATISFACTION IS MY GOAL Relevant Skills and Experience https://brewhaus.com. More

$111 USD in 1 day
(84 Reviews)
7.1
yogeshssanwal

Hi, I read your Job Description, It seems that you need to Build a Simple Squeeze Page that will be similer to the Existing one. I am ready to start work on your Project immediately. Relevant Skills and Experience Web More

$65 USD in 1 day
(177 Reviews)
6.7
samsugestion

Hello, Sir,****Let's START***** I'm much interested this job,I have in more then 11 years experience. I am 100% surely you will get quality work from me. Specialized in UI/UX, Web Designing, Slicing Relevant Skills an More

$100 USD in 0 days
(102 Reviews)
6.2
hyperexpert07

Hi. I checked [url removed, login to view] and understand you need a squeeze page. I can build it and integrate it with getresponse. Relevant Skills and Experience I have built different landing apges bef More

$80 USD in 3 days
(143 Reviews)
6.4
caroldata

Hi, I saw your description as you are planning to design single page like [url removed, login to view] so this look perfect skill set for me . ping me on chat to make your decision Relevant Skills and Experience My name is More

$100 USD in 7 days
(39 Reviews)
6.2
Avinavkr

Dear _____(Sir or Madam) I Mr. Avinav Kumar on behalf of  Softpointzone  is writing this letter to offer our web designing and development  services to [url removed, login to view] company excels in providing web designing and development More

$111 USD in 2 days
(84 Reviews)
6.2
abhaygoswami1

** 6+ Years of Experience** Hello, Reviewed Reference ***I would be designing a fully responsive and elegant Squeeze page for you*** Please initiate chat to discuss the project. Regards, Abhay G. Relevant Skills and E More

$70 USD in 3 days
(71 Reviews)
6.1
CoderCrew

Hi Regarding designing a simple page please come on chat for more discussion. i will wait for your positive response Thanks Relevant Skills and Experience html Proposed Milestones $155 USD - f

$155 USD in 3 days
(93 Reviews)
6.0
WebXcellance

Simple website build Relevant Skills and Experience Respected Sir, We have 7+ year exp in php html and wordpress. We have expertise in content management system in wordpress. Proposed Milestones $92 USD - Project

$92 USD in 3 days
(73 Reviews)
6.0
imphasys

Hi There, I've checked your requirements and I am much interested to assist you on the development of your Project with fulfilling all of and elegantly. Relevant Skills and Experience I have a complete knowledge of an More

$180 USD in 3 days
(45 Reviews)
5.5
Conepoint

Landing page needs to be built Relevant Skills and Experience [url removed, login to view] Proposed Milestones $30 USD - milestone

$30 USD in 3 days
(70 Reviews)
5.5
phpmaestro20

Hello I hope you're all right today. I've checked the condition and we can give you the answer to a job with a piece. Relevant Skills and Experience specialize in: PHP and PHP frameworks, WordPress and-commerce, open More

$155 USD in 3 days
(41 Reviews)
5.2
humrobo

I understand your requirements that you want a simple one page built with a lead form similar as :[url removed, login to view] with simple second page after submitting the form Relevant Skills and Experience I am a Senior w More

$200 USD in 3 days
(15 Reviews)
5.4
sayootech

Hi, “Please give concern to our portfolios as they fit as per your description.” I am Lipika & I have gone through your project requirements for Build a websites. Relevant Skills and Experience please review my work More

$155 USD in 3 days
(60 Reviews)
5.9
webdroid01

As per your requirement, you would like to develop a Website. We would like to share that we have extensive experience in website design, development, and deployment. Relevant Skills and Experience Similar work:- http More

$187 USD in 3 days
(11 Reviews)
5.0
erbhanumadan

Hello, Sure I am ready to Build a Simple Squeeze Page as per your given Reference and requirements. Please initiate interview process So I can start working according to your instructions. Relevant Skills and Experien More

$222 USD in 3 days
(14 Reviews)
5.1