Need Single Page Design

I'm looking for somebody to design a single web page for me. I only need the PSD file as the coding will be done by me.

The page will be a single contact form that will ask for an email address. It needs to be clean and catchy with a strong call to action.

An example of something similar is:
I will need your price and examples of your work.

PM for more details.

I sent you a PM. Hope to hear from you soon!

Thanks for all of the replies. I am going to make my decision this evening when I return.