Copy a 2 page website and make minor changes

<[login to view URL]> Copy this website but instead of Stop [login to view URL] it will be Avoid Foreclosure in Iowa.com. I will also provide testimonials and pictures. The required form to fill out should not ask for the state of the property The very bottom where there does not need to be any links to other sites but should have the required disclosure which I will provide. Once someone submits the form it should take them to another page where it would instruct them that the form was submitted and someone will be in touch shortly. The program should be auto email out to an email address sepecified. The site should be hosted by the coder also.