NameSilo

Need to grab some data and append it to a file

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I need to grab some data, mostly from user input and append it to a (text) file. I imagine this would be done in either PHP (preferred) or Javascript. I have about 4 or 5 questions to ask a user, which need to be validated and then appended to a file along with their IP Address and the date. This code is to be inserted before proceeding to download a file. I know the principals but don't just have the skills to put it all together. I don't have a lot of money for this. Maybe up to $15.

Questions are real simple, like, FirstName, LastName, eMail, WebSite, New or Upgrade, then add date and IP Address, then maybe 1 fixed variable (like version number) also to the file. File format should be .CSV (comma delimited preferred) so I can import it to a spreadsheet.
 
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This has been completed to my complete satisfaction.
 
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