Need a psd photo converted to a html index page. with form directing data to my email

General information for the website: Just a landing page im uploading using FTP.
Kind of development: New website from scratch
Num. of web pages/modules: 1
Description of every page/module: Heres the page please add a form and make all the data email to sales@sknergy.com

Thanks,
Description of requirements/features: Just need the page coded for the internet.
Extra notes: Need the form to send data to sales@sknergy.com
thats about it please code it and send file :) thanks.