Car Loan Website

Hello, I need a website for my business "Car Loan Hub". Please find logo attached. The website will need to have a "Apply Now" contact page. The purpose of the contact page is to post lead information automatically into SugarCRM I have already installed SugarCRM on my domain [login to view URL] . You will need some understanding of SugarCRM to complete this project. The contact form will post the following information to SugarCrm. Loan Amount Requested? Purpose of Loan? How Did You Hear About Us? Last Name. First Name. Middle name. Address. Suburb. Post Code. State. Mobile Phone#. Home Phone #. Current Employer? How Long At Current Employer? What model of car do you want to get? Have You Picked one out Yet? If you HAVE picked out a car, where is the car currently located?