I need a simple one page lead capture form with the URL pointing towards my domain name and the submit button that sends the lead info to my email. I want a simple white background with my logo at the top.

Job ID: 39502574

Budget: $30 – $250 USD

More details:

What information do you want to capture in the lead form? Name, email, phone, 4 selection boxes and a spot to add more details at the end
What should the 4 selection boxes represent? Buyer Type (5 types which all or one can be clicked, Deal Type (3 types which all or one can be clicked), Property Type (4 types or one can be clicked) All 3 selection boxes are required and contact info are required.
What do you want the selection boxes to be labeled as? Same
This is only for San Diego County, so the States and Cities are N/A

Example:
https://podio.com/webforms/29523662/2430056
Related categories: Website Design HTML Landing Pages Lead Generation