New Promotion Competition Website - Needed in 5 days

Project Description: Work effort required: - I need to view 1st draft design in 3 days (I have a paper entry form designed that you can follow) - I need to see working website 2 days later - It needs to go live by 23rd August - Create and build a 3 page website that will be used as a promotional competition entry site (in English) - Must be on a trusted system - Provide a hosting solution for a period of approximately 6 months - It needs to work and be accessible across all platforms (Mac OSX, Windows, Android, web and mobile) - Data needs to be secure Functions of pages: - Home page with Entry fields (name, ID field, Age, Gender, Occupation, address, pc, Country, phone x 2, email, say 5 spare fields to enter purchase receipt numbers). Yes I've read Ts & Cs (click to read Ts & Cs). Click to submit entry. - Thank you for entering page. You are now in the draw to win XXXXXXXX - Ts & Cs page - Back end collection data page where I can access entrants data and export into excel at any [login to view URL] required: Graphic Design, HTML, PHP, Website Design