We have a form on our website. can you host?

http://www.appipeline.com/dupont-claims.html

50 percent discount  

Please provide more details on what you need. It will help us provide you with the appropriate response and suggestions if you provide more clarity on your requirement.

From what I understand for now, I think you are asking if you can embed the form on your website. 

If it is, the answer is Yes. See the user guide: Adding a Form to a Web Page