572308 Facebook giveaway application

Hi I need a facebook application details below: [login to view URL] needs to have have a gate which force user to like my page and see the content inside. [login to view URL] the welcome page it should have a form to store the details of the user like their name, address & emails. Along with terms to enter the contest(which can be changed afterwards). This application will be used for contest and need to store the details of the fan who likes our facebook page its simple as that.