Simple Squeeze Page needs to be completed

Need squeeze page completed. The basic parts of it is complete. I need someone to set up a working opt-in form and get the whole site running and functioning within a days time. I used dreamweaver mx to design the first page and i don't really have time to figure out how to do the rest of the site on my own. [login to view URL] is the site so what i have already completed can be viewed. Once it is completed i would like to be able to go back and edit it in dreamweaver just in case i need to make any changes. I already have hosting, domains and email accounts. Just need to have database setup and