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119269 Need to copy a web page layout

Hi, there is a website ( just one page ) that I really like the layout and I would like to copy it, the page itself, has a form ( for people to fill out and submit ).

What I need is someone who can copy or design this same page for me, in a way so I can easily replace the header and the text later. The most important thing is that I want the same form ( I like the look of it so it has to have the same css style guess, I want the same look of it)and all I need is to have the information going to my email after clicking submit, and have a thank you page come up, thats it. nothing else, just the page layout with form and after submitting form, information has to go to my email, let me know if you can help, thanks!

Kỹ năng: Bất kì công việc gì, ASP, CSS, Perl, PHP, Thiết kế trang web

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