We have two simple HTML websites (with SSL) that will need a web based sign up/application form/page to collect important and sensitive data from customers (such as medical information, name, personal ID numbers/SSN, account information, financial information etc). One website is a medical insurance company, the other a financial mortgage/loan company. All the data that is collected needs to be stored in mySQL. Once a user signs up, an e-mail with applicant name should be sent to the company. Then the company needs to have a end user interface to log in in database and view, print data information (all clients or selected clients only). The forms on each website will be very similar and shoudl be the same solution, but two different domains and two different databases. The websites already exist, but not the signup forms and the database, e-mail notification and enduser interface to access databse access.
## 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
HTML, mySQL, PHP, Linux server