Create a Contact List Program for an Existing Blog Page

I want to build a contact list by giving away a free product and I want to able to change the product on occasion my self. I need a program to keep track of contact list.

I want to remove the contact program that is presently on by blog and replace it with this new system, check out what I have by going to [url removed, login to view]

Please see a sample of what I'm looking for at this blog page [url removed, login to view] I want mine to be at the top of the page minus and look like this minus the errors.

I want to give them a Heart Centered Guided Meditation so I want to post a cd cover with a place to enter the contact information below it.

Please look at this blog as a sample for what I want[url removed, login to view] and I have attached the book cover and then if you could have a cd coming out and the message read: Receive Your Free:" Heart Centered Mediation", plus enter a weekly drawing for a free Unlimited You Coaching session.

Enter your name and email address


Primary emai


Thank you. Loretta

Skills: C Programming, Graphic Design, HTML, PHP

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About the Employer:
( 4 reviews ) Playa del Carmen, Mexico

Project ID: #982005

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hi, please check your PMB, thanks

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