CMS Site

I need a CMS landing page (one page) that will allow me to change out the following items: 1) Video (hosted on youtube or other similar) 2) Title 3) Text above and below video And includes an opt-in form. I will give you the html for the opt-in form and I would like a little customization so that it looks better with a large red directional arrow above it and some text obove that I can also change. The opt-in form will consist of name and email address only. Landing page should use the same logo and colors as [login to view URL] . The video will be on the left hand side and the opt-in on the right hand side. Similar to the following site but with out all the navigation above and below: [login to view URL] Here is the html for the raw opt-in: <form action="[login to view URL]" method='POST'> <input type="hidden" value="75405875a5fea83e8ded4dee99079d6c" name="xid" id="xid" /> <input type="hidden" value="CustomFormWeb" name="type" id="type" /> <input type="hidden" value="Webinar Registration or Generic" name="name" id="name" /> <table> <tr><td colspan=99 style="padding:4px;background-color:#000000;color:#FFFFFF">Contact Information</td></tr> <tr><td>First Name *</td><td><input type='text' name='Contact0FirstName' value=''></td></tr> <tr><td>Email *</td><td><input type='text' name='Contact0Email' value=''></td></tr> <tr><td colspan=2><input type="submit" value="Submit" name="Submit" id="Submit" class="button np inf-button" /></td></tr> </table> </form> ## Deliverables I need this completed within 1 week of acceptance