PHP Page Requested

**PHP Page Needed** I need a .php page coded that will take data entered on a form and write the data to a MySQL database. Code must be structured neatly, easy to read and commented. ## Deliverables I need a .php page coded that will take data entered on a form and write the data to a MySQL database. Code must be structured neatly, easy to read and commented. **Table Name:** credit-repair-list **Table Fields:** | **Field** | **Data Type** | | FIRST | Text | | LAST? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? | Text | | E-MAIL | Text | | ADDRESS | Text | | ZIP? ? ? | Number | | DAY_PHONE | Text | | BEST_TIME | Text | | CREDIT_ISSUE | Text | | OVER_10k_Debt | Yes / No | | DEBT_AMOUNT | Text | | DEBT_HELP | Yes / No | **Form is located:** This will be provided after project is awarded. **MySql Version 5.0** Will provide DB instructions after project is awarded