member application?

First and foremost,, forgive, for I have am not worthy.

We are a non-profit foundation and we are just starting up a website (in
less than a week). One of the things that is need is a member registration.
We need three log in screens for this, dang attorneys: Kids, Teens, and
Adults see below. We mainly just want to capture the contact info for a
monthly newsletter.
Anyone no of a good application for doing this? They have a tight budget,
but I think they can go 4-$500.
We're on a dedicated Win2K server PHP, ASP, MySQL and can install whatever
else is needed to run the application (as long as it's not too expensive)

Rick

Kids
Birthday: _____________________ [drop down box with date options]
First name:
Parent's e-mail
address:
Enter a
Member Name:
Enter a password:
Enter password Again:

Teens
First Name
Last Name
E-mail
Parent's E-mail
Gender
Birthday
Street Address
City
State
ZIP / Postal Code
Country
Login Name
Password
Enter Password Again


Adults
First Name
Last Name
E-mail
Gender
Birthday
Street Address
City
State
ZIP / Postal Code
Country
Login Name
Password
Enter Password Again

gabby wrote:
 > First and foremost,, forgive, for I have am not worthy.
 >
 > We are a non-profit foundation and we are just starting up a website
 > (in less than a week). One of the things that is need is a member
 > registration. We need three log in screens for this, dang attorneys:
 > Kids, Teens, and Adults see below. We mainly just want to capture the
 > contact info for a monthly newsletter.
 > Anyone no of a good application for doing this? They have a tight
 > budget, but I think they can go 4-$500.
 > We're on a dedicated Win2K server PHP, ASP, MySQL and can install
 > whatever else is needed to run the application (as long as it's not
 > too expensive)

This should cost a lot less than that to set up. Someone who knows
what they are doing should be able to code this by hand for a lot less.
Although my guess is someone has done this already and the code already
exists. Which means it should even be cheaper for you.
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