Insurance leads page

This is just a single page, to be used as a lead generator for a discount health plan. It is designed after an existing printed pamphlet (just a one-page, 8 1/2" by 3 2/3" front and back brochure). I can supply the original pdf file and the stock photos. This is a pretty small simple project. It will just be one webpage, no links, just an 800# that people call. The front of the existing brochure would basically be the first part of the page, the top of the page. The back of the brochure would be the bottom half of the page. The 800# will NOT be the one you will see on my sample, I will get that to you at some point early into the project. This is actually already designed for you, it just needs to be turned into a webpage vs a printable brochure. Everything is already there for you, but everything needs to be moved around a bit. This is really a "layout" project more than a design project. I am sure that the "first draft" will still require some tweaking after I see it. Probably won't take long. (below "At least 1 job should be selected" - I have no idea what was the proper one, so I just selected HTML. That may or may not be the proper selection. My description above will tell you what I'm really needing.)