Web for template to use in dreamweaver

Avg Bid (USD)
Project Budget (USD)
$10 - $30

Project Description:
I have made a web form using coffeecup. here is the link: http://djdemocracy.coffeecup.com/forms/hidden%20submit%20form3/ I would like to have this as my own css style sheet that i can use with dreamweaver CS6 that functions in the same way. I receive a very clear email when this is filled out. I will send to you a copy of the email I receive so you can see how the information arrives to me. In the CSS form I would like to be able to edit the background colour and add a main image at the top as in the form i have made. There are check boxes that I would like to add or remove, but other field would be standard. Thanks

Skills required:
HTML, PSD to HTML, Website Design
About the employer:
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