Urgent - Need a small Pop-up

Urgent - Need a small Pop-up

Closed - This job posting has been filled.

Job Description

Check this site, you will see a Pop-up window - "Enter to win our *****" -

http://www.ross-simons.com/?cm_mmc=Google%20CPC-_-Brand-_-Core%20Terms%20-%20Exact-_-ross%20-%20simmons&utm_source=Google&utm_medium=cpc&utm_term=ross%20-%20simmons&utm_content=Core%20Terms%20-%20Exact&utm_campaign=Brand&gclid=CPqXl6_Th7QCFQkFnQodYk8AxA


I need a same Window in this site

http://audioelectronicwarehouse.com


But I need 3 fields First name , Last name , Email. All these information that users enter need to be save somewhere. You can suggest me where to save these information.

This is a simple work so low bid will be given high priority

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