Create Email Signup Form

I need one page created. It is a page to collect email addresses. It should look exactly like these mockups:

http://dl.dropbox.com/u/1737103/splash1.png
http://dl.dropbox.com/u/1737103/splash2.png

Page should be centered, white background bar should stretch 100%

There should be no refreshing between these two screens, the mail form should fade out and the second confirmation should fade in.

It should save all email addresses in a txt file on the server.

* No valid email checks need to be made
* Looking for something made right now, quickly and cheaply

psds:

http://dl.dropbox.com/u/1737103/splash1.psd
http://dl.dropbox.com/u/1737103/splash2.psd

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