Facebook Fanpage Application

I would like a facebook application written. The main two functions are 1. Collect emails for newsletters. 2. Play videos with a button/link underneath it. Depending on which option (newsletter or video) the user chooses, they will have the option to change text and images (design images attached). This app is made to display the opt in form or video on a facebook fanpage IN THE TIMELINE. There is other software that does the same thing, with multiple other features, but I'm just looking for these two. The app needs to be automatic to set up for end user, so that after they edit their settings they choose which fanpage to publish to and click a button to post it. I would like to have the option to require visitors to "share" the post before being able to play the video if the end user chooses. To avoid people bidding on this project without reading the description, please start your bid with the words "I pay attention". If you do a good job on this project I will have more work for you in the future. I will retain the full rights to this app when it's completed. Good luck bidding! =]