Create 1 WordPress page

Create 1 WordPress page like this: [login to view URL] Page will include many of the same elements, but instead of payment processing form like on the sample link above, there is a 1 standard contact form and 1 simple info-collection form ("What hotel is closest to you? How far is the airport?" etc etc) which sends the data entered to buyer's email. Almost all images provided. Others are just standard web icons (numbers, buttons, etc.) Please state # of initial designs provided and number of revisions thereafter included in your quote. Experienced buyer provides very clear direction and easy-to-follow visual (screenshots) for feedback. You would be given a very clean and professionally prepared Word document with all images shown in place, plus separate needed files. The design is practically done for you. Deliverables include uploading Word Press onto buyer's server with all files uploaded and tested... and also all files zipped sent to buyer. State the length of your support time. Preference given to those with similar work in their portfolios.