create image attached with new text

project is fixed at 15usd, need to be printed on the following size in inches - 6 inches width , 4 inches length. following information typed out below so you can copy onto text. the picture attached is terrible quality but it is what i need recreated with below info. I have attached our own logo, same color design and font as pass. On the front of the pass Twelve days of Fitness Name : Start Date : End Date: Authorised: [login to view URL] instead of the seven boxes on the pass attached I need twelve boxes. In each of the small boxes I need the following information: Day 1 Enrol today and SAVE €130 Day 2 Enrol today SAVE €70 Day 3 Enrol today SAVE €51 Day 4 Enrol today SAVE €51 Day 5 Last Chance Enrol today and get dec FREE Day 6 Enrol today Day 7 Enrol today Day 8 Enrol today Day 9 Enrol today Day 10 Enrol today Day 11 Enrol today Day 12 Enrol today 12-Day membership is for 12 consecutive visits. All guests must make an appointment for 1st visit and must be fully toured before using the facilities. Guest waiver must be completed. Only one 12-day membership per guest. All guests must abide by club rules. Management reserve the right to refuse admission without reason. Over 18 years only. Energie Fitness Rathfarnham Nutgrove Retail park, D14 Ph: 01-4994244 On the back of the pass: Name: Address: Tel : (h) (w) e-mail Wavier '' I hereby agree that I will use the facilities of Energie Fitness entirely at my own risk and that the said club shall have no liability whatsoever, whether in tort or in contract, for any loss. injury or damage whatsoever sustained by me. I accept full responsibility for my use of any and all facilities, appliances, privilege or service whatsoever at my own risk and indemnify and hold harmless Energie Fitness, its Shareholders and Directors, Officers, Employees, Representatives, Agents or Lessors , from any and all loss, claim, injury, damage or liability sustained or incurred by me or my property, howsoever caused.'' Recipient Signature: M.A Approval: Date: Expiry Date: Date: This pass is non transferrable No.