295387 Lead Capture Page

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Project Description:
I need a lead capture page created. All content is provided, just need the html coding

here is the example of what I want http://www.zeroto500.com/

* Must be fluent in English
* Must be able to complete task within 2 days
* Must have html, css knowledge
* Must be very conversant with wordpress

Skills required:
Anything Goes, PHP
About the employer:
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