Creating a form to collect name, e-mail and download a free e-book

These are cool videos and I will check out more.
What I want is for people to receive a download only after they give me their name & e-mail. They get an auto-respond saying hi, thank you and here is the e-book.
I collect there name and e-mail is the Wix csv system so I can do follow-up mails.

I have a three strip one-page format. There is a header, a middle strip with my video and a bottom strip with the form.

I also want to have a button on the header and middle strip to take them to the form as well.