PSD Landing Page to HTML CSS

PSD Landing page needs to be converted to HTML, as well as CSS mobile responsive. Also, the contact table there I need my php there to use the one I configured. That way across our 20 different landing pages I can use the same code and the information goes into our CMS no matter what website it is sent from. I have the code for it. I would like this conversion to be simple and exactly how it looks in the PSD file. I need someone who is fast and accurate for this job. Please remember that the same page needs to be able to placed on several websites, So we need the ability to just simply replace pictures and content. So this conversion needs to more like a template for our other landing pages. Attached is the design and The second "[login to view URL]" is the PHP for our contact Needs to be exact otherwise the lead won't come to us...script..