We need a custom page added to Word Press Website.
This will be a landing page - ie
[login to view URL]
This page will allow a user to input information such as Name, Address, Phone Number, etc.
The submit button with allow the user to send this information to us (several emails) and provide the user with a "Thank You" Screen.
This is going to a partner of ours - there may be 2 rounds of revisions and changes. Please take this into account when quoting the price.
The HTML is going to be pretty basic - some Text, some images, and the form.
Please ask any questions you need.