Hover ad software

I am looking for a coder to put together a piece of software or a website (whichever is more appropriate) to generate hover ads. Most hover ad software packages out there dont have a feature where you can insert a form. I need a hover ad to have a form to collect data (name and email) and either stored in a database or emailed to a particular address. Ideally I would like a website where people could subscribe to to use this hoverad software via a site and that it would store the forum inputs in a database individually for every user. Second option is a desktop software which would allow to select various designs and popup styles. I use HoverAd Generator 1.5, everything is great in it besides the form feature. So if you think you can do this sort of a job, please reply to this post with your opinion on weather it can be done and how you are planning to do it and also your price, dont just write "I can do this job". Please be specific, as I would like to complete this job asap. ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform complete website, php or asp. .exe file if written as one program