need a script for capturing leads

[gdubs12345]

im trying to put together a site so i can capture leads and put them into a database for my dad's business.
I cant find a decent programmer to help me out with this. Is there premade software or a script that could do something like this for me?

 

[theNOTO]

Create a html form and use something like this on the page the form posts to:

<?php 
$data = $_POST['data']; 
$db = mysql_connect($host, $user, $password) 
mysql_query("INSERT INTO table (data) VALUES ($data)", $db)or DIE("Could not insert $data"); 
?>

 

[LotsOfZeros]

*cough* aweber *cough*