Form Made And Inserted

I am in need of a form for my landing page. Form needs to be made and inserted into my completed landing page with out modifying the landing pages structure. . the form should be php and easy to edit and should take on the look and feel of the current website page. It will include all of the labels, and fields pictured in this image. It will include a submit button that send the information to two seperate email addresses and then returns a thank you response, and then sends a short email to…

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