Create a Wordpress Call to Action Template that feeds through to Visual Form Builder

Hello. Required: A "Call to Action" (similar to attached photo) that feeds directly through to Visual Form Builder plugin. The purpose is so that when somebody visits my travel site, they complete the form to request a brochure, then i have their email address to remarket too. I need the "call to action" to be created with my current branding on the website and i need it so i can easily change the description for different tours. It also needs to fit in with my current theme and site layout. [login to view URL] I currently have one in there at the moment but i need it to look better and look like it fits in and not take up as much room as it currently does.