498459 Facebook page + application

We need a facebook experience developer to create our facebook page and integrate our website functionality into facebook by building an app. We will provide a webservice for the application to connect with. The appplication works in the following way: Users submit details into an entry form ( some of them like date of brith, name ,etc will be retrieve from fb user profile) and the app will call an webservice and display the responses back into the facebook page. For each response the users will have two buttons: fb share and request for contact. The "request for contact" button will send a private facebook message to my facebook account and an email for an external email address with all the details contained on the response message. We will provide the psd files for design reference. Please reply with info about pages and app you have done before. Works needs to be done in 2 weeks. Regards