Leadgenerating website easy to customize

Hi, I need a well designed lead generating website made in a cms like Wordpress and must be easy to customize. The general idea of the lead generating website is to let visitors leave their personal information. In change of that they can receive discountcoupons. The targetgroup: 18y to 45y General site functions: - sign up form (name, last name, gender, birth date, adress, house number, zipcode, city, mobile number, email), checkbox for agreement to use the info for online promotions etc. - select different kind of discountcoupons - easy to change / modify the background of the homepage - countdown clock - social share buttons - simple signup for newsletter - simple contactform Types of sites we like: - [login to view URL] - [login to view URL] -[login to view URL]