php email form and html/css front page

This is a small project as it is almost oomplete. i just need some help to overcome some errors and work that I do not have the skill or time for. I have created a form in dreamweaver which needs the php and js component done. You can use the work i have done as a base or start it from scratch im not fussed. I need it to send to my email and an auto response set up saying "thank you for your request...etc". I want this to be accessed by a secure URL. I also need a home page and contact page template in css and html . I have attached a screen shot to show what it should look like. I have done most of the work here but i am having browser problems with my template. If you could overcome these for me that would be great. I will supply all the work i have done so far. I need it to work in all browsers and have no errors. All files must be editable and supplied in full and working condition. i have a few more specs but will discuss upon interest. I have a domain and hosting info that i will also supply to the winning bidder.