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502768 Working Contact Form in Header with Wordpress

I need a working contact form in my Wordpress theme header, that can be integrated with either Infusionsoft or Aweber. See attached image for the form. This must be able to be wigetized as well.

Beceriler: Her şey Kabul, WordPress

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İşveren Hakkında:
( 1 değerlendirme ) New Port Richey, United States

Proje NO: #2248690