LEAD GENERATING WEB PAGE WANTED URGENTLY

I am offering a free course as a lead generating and viral marketing tool. REQUIREMENT FACTS... 1. I want a web page that prospects would be referred to, to download the free course. 2. When they get to this page, they would be required to fill in their email address and name, as well as the name and email addresses of 5 other persons (friends, relatives, loved ones etc ), as the only prerequisite to being given access to download the free course . 3. The names and emails filled in must be valid. A confirmation email would b sent to their email addresses for them to confirm their email, to enable my email addresses to be white listed in their email account. So that my subsequent email to them would go into their inbox instead of being filtered to bulk folder. After they have confirmed the email by clicking on the link that is sent to them for confirmation, a second email would be sent to them containing the free course that they have to download. 4. At the instance of submitting the form to get the free course, having filled in the names and email addresses of 5 other persons, an email would be sent to the 5 other persons , as coming from the person who filled in their details, inviting them to download the free course by visiting our lead generating web page. And the process begins all over again. 5. The web page should verify the validity of the emails filled in the form before accepting them as valid. No email should be entered twice on the page 6. The web page should have a back end admin panel that shows all the email addresses and names submitted directly, and the ones referred. And I would be able set a series of auto response messages or manually mail everyone on the list who were referred or that filled in their emails. 7. I will provide the hosting server space and the web content to use for the project. If you can program this, let me know exactly what to expect from you, in terms of scope of work, delivery hours and cost. I look forward to working with you. Happy bidding