DNN website development

Basically this company is a clone of geeksquad dot com and we are looking to have a site developed in DotNetNuke that takes the content and functionality of geeksquad dot com, fixflash dot com, yourtechonline dot com and plumchoice dot com. We offer the same services as these companies so the content will be similar and I can do some editing. I will also want some input on additional graphics. It will need to have the ability for customers to request service online via an online form with editable drop down selections via the database. I'm interested in seeing a mockup ASAP prior to selecting designer. Attached are files to give you an idea of the color schemas. If need be I can supply an HTML template for you to convert into a DNN skin. The total budget cannot exceed US $500