262682 basic 1 page website

I need a Design, Coded, and Content for 1 page. The 1 page should have a contact form that asks for Name, Email, Phone Number, Budget, Time Frame (this should be a drop down), and Project Description. I like how this page is designed [login to view URL] This will be for the domain [login to view URL] When you develop the site, it should be completely in CSS For the content i need some info describing CSS Websites, what they are good, for example SEO, and load time, etc.. Should be Very Graphical