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create opt-in box for newsletter

I want to offer a newsletter on my site http://www.4-personal-protection.com.

I need a newsletter opt-in box created to capture the email address and then forward that to an autoresponder that will deliver the first newsletter.

I will probably use Aweber or Get Response for the autoresponder

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Installation package that will install the software (in ready-to-run condition) on the platform(s) specified in this bid request.

3) Exclusive and complete copyrights to all work purchased. (No GPL, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site).

## Platform

html

Квалификация: Техника, MySQL, PHP, Архитектура ПО, Тестирование ПО, Интерфейс пользователя / Информационная архитектура

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О работодателе:
( 15 отзыв(-а, -ов) ) United States

ID проекта: #3053269

10 фрилансеров(-а) в среднем готовы выполнить эту работу за $33

aplimovil

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$34 USD за 15 дней(-я)
(108 отзывов(-а))
6.8
silkroutesl

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$21.25 USD за 15 дней(-я)
(128 отзывов(-а))
6.6
goldencube

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$33.15 USD за 15 дней(-я)
(49 отзывов(-а))
6.0
ripplev

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$42.5 USD за 15 дней(-я)
(12 отзывов(-а))
4.7
venkateshek

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$17 USD за 15 дней(-я)
(45 отзывов(-а))
4.4
FourStudios

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$42.5 USD за 15 дней(-я)
(5 отзывов(-а))
4.0
infoface

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$29.75 USD за 15 дней(-я)
(4 отзывов(-а))
3.1
michaelevanchik

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$42.5 USD за 15 дней(-я)
(2 отзывов(-а))
2.5
blackwidowt

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$21.25 USD за 15 дней(-я)
(0 отзывов(-а))
0.0
jazid

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$42.5 USD за 15 дней(-я)
(0 отзывов(-а))
0.0