Looking for a Facebook fan page specialist. Must have knowledge in landing pages and Getresponse.

Im looking for an expert in creating Facebook landing pages. I have attached the pages that im using for my the landing page I just need them uploaded and I need someone to figure out how I can collect the info from the visitor. I have get response autoresponder. I have created a video for a tutorial enter the job code in the video to be considered for job. I am looking for an expert that can provide a solution.

Here is the video:http://www.screencast.com/t/yoioeBgqC