Attractive Javascript Form - Data sent to an E-Mail

I want to create a Javascript form similar to this: <[login to view URL]> I want all of the questions on this form: <[login to view URL]> to be displayed in 4 different "slides" with 3-4 fields per slide, so that when you complete each slide it moves over to the next set of fields while staying in the same window. I'd also like to include an opt-in checkmark box that people can select to be included in my autoresponder after they've provided their e-mail address. After everything's completed, I'd like a thank you page (which I'll give more detail on once I have a winning bidder) and for all of the form data to be submitted to my e-mail address. I don't think this is too difficult, however I have no experience with Javascript so I figured I'd let a professional handle this for me. I look forward to seeing what you have to offer!