configure online registration and link to subscription lists in Campaign monitor

I'm looking for a reliable freelancer with good knowledge of linking website forms to campaign monitor subscription lists. I have a website, one page, set up to function as a registration page for an event. The subscriber needs to fill in this form (name, email, amount of persons attending and their names) and according to the fill in criteria " I am an official dealer" or "I'm not an official dealer yet" the subscriber should be added to the corresponding subscription list in campaign monitor. At the same time the submitted contact form need to be sent to 2 e-mail addresses. This should be set up twice. Once on a Dutch webpage, and once on a French webpage. The freelancer will have to configure the contact form and style it corresponding to what already exists. See attachments. Deadline tomorrow at 12.00 CET!