Opt-In Page Template

Closed - This job posting has been filled and work has been completed.

Job Description

Hello,

I am looking for someone to create an HTML optin-in page template for me.

Similar to this: http://empiremarketingcash.com/

This site was built on Wordpress using a plug-in, but I'd like an HTML template that would mimic the same style of this page.

The reason for this is so that I can give it away as a bonus for a product I'll be selling.