Module to unsubscribe for Dolphin

Hello,

I would like to change on the unsubscribe page Dolphin (www.myDolphin.com/unregister.php)

I want a page to unsubscribe semblance to that of Facebook

(See attached photo)

With pictures of their friends who will miss,

Multiple choices the reason for unsubscribing

with provision for changing the multiple choice to unsubscribe via the administrative panel

a textarea obligatory decision of the member who unsubscribes

and then sends an email for administrator to each member deleted

his nickname, e-mail and the information filled in the form unsubscribe

This module should be a separate module and no change in the code of Dolphin

100% Translatable

Stored in language strings am and is ready for translation.

And fully integrated with Dolphin.

It must also be 100% compatible with Dolphin 7.0.3

Thank