Build and add a simple Request a Quote form to an existing website

I need a form built and added to the following website: uniquewindowsandsiding.com. The fields on the form will be similar to the forms on these 2 websites: [login to view URL] and [login to view URL] I need it to be styled to match the site. There is already a contact form on the site ([login to view URL]) and I'd like it to look similar as far as the styling. The form needs to process correctly and for testing purposes should send to admin@uniquewindowsandsiding.com. I'll provide the details of the form fields, ftp info, etc. once you are chosen. Thanks!