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adding / changing fields for collecting signatures

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Hi,

I am looking for a plugin that does the following:

user types in name, degree, affiliation, email
email is verifyed
data is entered into a database
if permission for this is granted, data is displayed somewhere on a webpage

speak-out seems to be the perfect plugin for this except that only one additional field is permitted.

Is there a way to extend/adapt the plugin for my task?

Thanks!

Stefan


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