Add "Contact Us" Page based on the home page, plus checkboxes

Add a page to my web-site, c#o#m#p#u#-#p#r#o#.co#m (removing the “#”s), for the “Contact Us” tab, to be a copy of my home page, except as follows: 1) Put a checkbox next to (top left of) each logo on the page, including cloud-Utilicy logo. 2) Put a checkbox next to (left of) each bulleted item on the page, replacing those bullets. (More simply stated, replace the bullets with check boxes.) 3) Replace the sentence below each heading, “Consulting”, “Systems Engineering” and “Software Development” with: “Check all that apply…” 4) Reduced in size the cloud-logo in top-right to make plenty of room for #5, #6 & #7. 5) Add text to say, “Tell us about your needs…”, and “Check all that apply…”. 6) Add Input boxes in top-right for two fields prompted by labels… a. “Name”, and b. “eMail Address or Phone Number”. 7) Add a “Send” button which does the following: a. Enables only when one or more checkboxes is checked. b. Sends the information collected via your choice of any one of the following methods: i. FTP Append ii. Google Docs append to a spreadsheet iii. Append to a .txt file in the S3 bucket hosting the site iv. eMail to an address c. Displays a “Thank you” dialog box and returns user to the site’s home page. Further notes: • The web-site is hosted by Amazon S3. • You will be provided with an Amazon username/password to have complete access to bucket. • You will be provided with a destination address for #7 above after you choose method. • c#o#m#p#u#-#p#r#o#.co#m (removing the “#”s) is where the site is hosted, the domain name and the Amazon bucket name. • Thank you for your consideration.