Simple web site with 10 form fields

Simple web site with 10 form fields

Cancelled

Job Description

I am looking for someone to help me design a site very similar in layout to the two sites listed in the attachment.

I will get the photo I want used. I want the first page to prompt for 4 form fields and the second page to prompt for 6.

I need the email address to be dropped into my Aweber autoresponder.

I also want an email to be sent to me with all form data that was collected.

Thank you in advance.

Sites

http://www.lowvarates.com/landing-page
http://www.mortgageinvestors.com/lp/irrrl/virginia-va-irrrl.php

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