Website Design From Template

Website Design From Template
Creating a website to give an instant price indication for insurance based on about 15 questions.

Need simple website customized from template here:
http://www.templatemonster.com/website-templates/27412.html

Special customization needs:
-Need webform created:
-Captures email to get started
-Asks about 15 questions
-Gives user a price indication based on questions answered
-Might want to add an audio or video file for when visitor first arrives.
-Would like main headline to rotate between different text (ie. Save 20% -> A Rated Carrier -> etc -> etc.)

Need programmer to help upload site and get it live.

Look forward to speaking with you about the best way to accomplish.

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