PHP Form With Capture

To finish and make working a existing web form with Capture security code. The form and code are already in place we are simply looking to you to repaire and ensure it is fully working. The fiorm information should be collected in a simple data base. We have a data base on other servers and we would idealy like to combine the data under one data base if possible. The information captured should be 10 fields from each form. We consider this to be a very quick job and should take no more than an hour. Please bid accordingly. ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform WEB Server Based