385445 Lead Page

Hello, I have a basic template look I need coded (should be only 1 page) Basically its going to say hello, we are remodeling our site, here is some of our sites we are working on, (id like them to be lightbox gallery scroll), I then need a thing that says get your free quote today and a form that says "Name, city, state, zip, email, budget, do you have content, stuff like that" I need it to go to my email, as well as it save in a line in a text file for future reference. Need this done ASAP