HTML Landing Page to Capture Email Address

1. create a simple responsive HTML page, as per screenshot. PSD will be included. And I've already cropped photos as well. 2. it must look 100% accurate when looked on Chrome, IE, Firefox, and Safari. And look correct andoird and iphone. 3. if email is not entered it must make the field red, and request them to enter the email. No popup!!! it must be ajax / javascript style.... with message "Please enter email address before submitting!" 4. the landing page file name shall be [login to view URL] all images should be in /images the thank you page file name shall be [login to view URL] 5. once they submit the email address, it shall send them an email which looks like this from: info@[login to view URL] to: the clients provided email address bcc a copy of this email to info@[login to view URL] Subject: 1 Hour Free Game Time - Promo Code @ Planet Cyber in Canoga Park Content: Your promo code is "Superman2018" Enjoy your gaming experience, we look forward to seeing you soon! Planet Cyber - LAN Game Center - 6911 Topanga Canyon Blvd. Canoga Park CA 91303 Questions? call (818) 999-9000 Open as Late as 3 AM **Please note the promo code is good for 3-months, and a valid ID is required to redeem the code, and is limited to 1 coupon per client. 6. each captured email address should be saved to a txt file [login to view URL] email1@[login to view URL] email2@[login to view URL] ... .. OTHER REQUIREMENTS ======================== 1. this must be done today. this is a 2-3 hours for someone with experience 2. 100% of the payment will be held in escrow here on freelancer until the job is done 3. you must be available to talk to skype to review in case issues are found using audio. 4. i'm installing this in the root of a wordpress website. make sure your file, and css, does not conflict with wordpress.