Form design and implementation for Wordpress

I want a very simple contact form element designed roughly like the attached picture for a Wordpress install with the Gravity Forms extension. I'd like three forms designed: 1. a full page width design 2. a 2/3rds page width design 3. A more compact design for a sidebar widget A couple other requirements: A. I'm using simplethemes Orion template and I have Gravity forms extension / plugin. I would like the form to plug into Gravity forms as it already puts the responses in the database, etc. It should be styled to work with SimpleThemes templates. B. I want the submit button to be CSS styled not an image. I think this just requires some custom CSS developed for the gravity forms extension -- their documentation is here: [login to view URL] If you want to win please say how you will do this within the context of Gravity forms. (All boilerplate bids will be ignored.) Thanks and look forward to working with you!