I need a short sign up form for debt consolidation that is eye catching and converts well to plug in to an existing website.
The form will go on this page and replace the top section containing the "Consolidate Your Debt" text and photo. It's ok to make the form a little taller than the existing section and push the text below down.
The fields it needs to contain are:
To give you an idea, here are two competitors' sites.
- A color scheme that blends in well with the existing site
- A visually attractive form that looks professional
- Flashing buttons or any other overly annoying elements to draw attention to the form.
- Just a plain form. It needs to be something that entices the visitor to sign up for debt counseling, not just well formatted fields.