I will create a simple form for your website for $5

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    hmatlock
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I will create a simple form using Google docs you may use for your website. Either you must provide me with a google account you would like me to use so you can access the data entered into the form by your customer, or I will open a "dummy" google account and you can change the password after the gig is completed. You must also be able to embed code into your web page. Once I have created the form, I will send you the embed code.