Contact Form For WordPress Site

I need a contact form to be added to an existing wordpress site, with EXACTLY the same features as this page:

http://paula.actioncollab.com/savetamapark/email-councillors-and-staff-of-waverley-council/

– Page has some introductory text at the top

1. CONTACT FORM:
– Firstname, Lastname, Email
– Email to be sent to several addresses
– Default text is given, with option for user to add more in the text box
– (If possible) Firstname and Lastname is added to the bottom of the default text when the email is sent.

2. SIDEBAR

– Email sent and target bar-chart is shown
– Facebook
– Twitter

3. SUBSCRIPTION:

Option to Subscribe (Send me updates)

– Developer can use a plugin or own code or variation of the above url.
– Developer must first provide the test page on his own wordpress site. When it has been tested, the developer must set it up on the live site.

– (Optional) contact page is set up to minimise spam

This job must be completed within 7 days of awarding. First draft must be available for testing within 3 days of awarding.

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