i need an intuitive form designed for a word press page. It needs to be functional on a self hosted wordpress page. 

the existing form can be viewed here: http://www.seogoogleguru.com/seo-services/seo-packages/

-the form must be designed to look like it pops off the page.
-use the color scheme of the website.
-have a roll over feature that describes the features on the left -hand side section of the form.
-be dependable so the form does not break or cause problems
-needs a strong call to action 
-an eye pleasing design

Do you know wordpress? Do you know how to make a eye catching form? If so, I want to hear from.