iframe expert needed

I need an affiliate email submit iframed on a page with a lot of traffic. It needs to blend in and look like it belongs on the page. It must BLANK the referrer 100% of the time without leaking. The offer is a 2 part offer, 1st part submits the email and then 2nd page asks for a little more info. This is the minimum cutoff point though it could go on for another couple pages as well. Let's discuss.

Please contact me so we can get the ball rolling. I need this done ASAP.

Still looking.