css project - smarty/php complex form

Hi, I have attached form, which is ugly. And like to make it look like a MAGIC form!... stunning and easy to use! sample of what it should look like once finished. [login to view URL] find files for the above form css etc here [login to view URL] I need this to be unique, cool and fit within my site design (link provided to winner) I need this TODAY! Will cancel job if not delivered today and tested, will leave honest feedback.