I need a wordpress landing page for a book launch

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Experience Level: Intermediate
I'm launching a new book and need a Wordpress landing page. I will also need several sales pages, but want to get started with the landing page.

I'm looking for something very simple. A web form, an image of the book, and a small amount of copy that I will provide. Really like your well balanced style.

Can you quote me a fixed price for the landing page and what your availability is?
My launch date is March 24th.

This is where the prospect will land and provide contact information. I don't want them to get distracted and click away. I've attached a rough idea of what I need.

Thank you,

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