As per your need, I will certainly design beautiful and captivating landing page site incorporated with a form that will capture Email, Country (Drop Down menu). Do you have any wireframe/sketches to show?
To see my experience, expertise and client's feedback please review my profile.
I am readily available for the project and would like to confirm your preference on colors, design specification. Please inbox me to initiate further talks.
With Regards,
Puja, Web Expert.