1 Page Design & Form

What i require creating as a single pagw template creating that i can simply copy and paste content into the middle easy. The graphics need to be created around the outside looking clean and professional around the table. I require also a contact form. When submit is clicked, the contact form must submit all the form data to a specified address. It must also CC the data to the customer who has filled in the form. Finally, most important is that there must be simple validation in that the customer cannot submit details without clicking a terms and conditions box. The terms and conditions will be on a different page which i will do but very important ** The data from the form must have below it a full copy of the terms and conditions. this must be also CC'd to the customer ** This job is very simple and fast, the graphics for the page need to be nice and clean looking, also professional. I require it doing FAST. Thanks ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform HTML