Hello there,my name is Ebrahim Mohammed, I have been a programmer and a web designer for over 5 years now with a lot of experience in HTML,PHP,ASP.NET,MVC,C#,C++,CSS,JS and many more programming and web designing language, and also a lot of experience in MySQL,SQL,JSON,File Based Databases (which will be great to capture emails).
can I have a look at the current image that you have? I will be glad to convert it to html and do all the backend too,along with a simple admin panel to see all emails captured too.
I can finish the complete system in 1 day, I am really surprised about some of the bids here,good luck.
P.S: you can check my reviews and my portfolio