New Form Required On Website

I need a form put on www.americandreams.co.uk in keeping with the curent design of the forms on contact pages with the following fields

Business name

Customer name

Business category – ( drop down box ) cars, venues, cakes, groom wear , bridal dresses , DJs/Disco, Venues, Marquees, Photographers, Cakes

Brief business description ( no more than 50 words )

Logo or image upload ( 100 pixels height by 100 pixels width maximum )

‘Add company’ button

T…

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