I need a digital form created for lead generation

I am seeking a skilled freelancer to create a digital form for my presence at wedding shows as a wedding dress designer. The project involves developing a user-friendly QR code that prospective clients can scan. Upon accessing the form, they will be prompted to fill in essential fields to capture their contact details. In addition, the form will offer a complimentary consultation and a £100 discount voucher towards their wedding dress purchase. The design must be visually appealing and reflective of my brand, ensuring an effortless user experience. It should also enable clients to request an appointment and provide preferred dates.