I need a professional looking capture form for my website. All I use now is the html provided by my autoresponder. This can be seen on the right hand side of the following website:
[url removed, login to view]
I need the html for my autoresponder to be entered into a capture form. I will need the complete and final html code for the capture form provided to me along with the image files I will need to upload. I will provide you with the html for my autoresponder that needs to be entered into the new capture form.
I would like the form to be light blue with a yellow submit button that says "Free Analysis!"
Attached is a screenshot of the content that I would like in the capture form.