[url removed, login to view]
page contains a form to fill out.
That form needs to be converted into the DNN module.
VB.NET or C# should be used.
It should have a very basic feature, after the person chooses the fields he prefers and fills out the rest of the fields, all those details should be emailed to a specific email address.
The entire project shouldn't take longer than 3 - 3.5 hours and needs to be completed ASAP.