Add Fields To Existing Website Form ..

Need to add a few fields on my existing website newleadss.com –

1. Are You Interested In INBOX PHP MAILER (Demo)(Sold separately for US$ 50 – 15 days access), Click Yes If You Want Us To Send You The Details:*
Yes/No – If yes, then add 50$ to Order

2. Add field at the bottom … Do you want to add SMTP to your order: Yes/No (if yes, then how many, price per smtp 10$, add amount to order total)

Urgent, programmers who can work/finish now may please bid.

Thanks in advance.

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