Registration Form Needed

Registration Form Needed

Closed - This job posting has been filled.

Job Description

I need a registration form build for a website. Should be secure, no encryption on passwords.

Form will need about 10 fields to be designed and placed into two different tables on the database.

Going into 'accounts' table:
id
username
password

Going into 'contacts' table:
account_id (must match id from 'accounts' table)
first_name
last_name
company
language (will always be 'en_us')
address
city
zip
phone
email
url

That should be about it.