Need a simple but effective form

Need a simple but effective form

Need this fields: Customer Name : Customer Phone #: Pin #: Dated Created ( By default creation date ) Dated Need to add pin Company ( drop menu ) Comments The most important needs are: The users can't delete records If they modify i get an email The users and me need to get an email on the date that the pin need to be added. I need to get emails on any change.


Budget : per hour | Duration : 2 or 3 hours

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