1 signup newsletter page

For I client I want to have an one website page that asks the following information to the user: Name, email address, Occupation (dropdown). when the user presses the sign up button, the fields are checked (valid email). If everything is correct, the user will receive an "validate your email address" mail. When the user clicks on the hyperlink the email address will be valid. on a new web page (when the hyperlink is clicked) a text will be visible that the email address is now registered. Please use a kind of encryption to pass the parameter. do not use /[login to view URL] but rather use /[login to view URL] . mysql database structure: table user id name email_address occupation valid The site should fit into the original site: [login to view URL]