Need PHP application form to be developed

Hello, I need a professional developer who can develop an application form for my website. -The form must be embedded in wordpress site -It should send mail to multiple addresses -Validation is very important. The form should be designed in such a way that it should be compact and easy to put on every web page. Example: [login to view URL] [login to view URL] and Big form to be designed like : [login to view URL] I need this to be done within 3-4 hours with perfection. Please bid if you are sure about the work and do not write spamming proposals please. Proposal starting with -- " TEAM" -- will be read. Thank you.