<div class="top">
  <div class="quote">blah</div>
</div>

<div class="bottom">
  <form ...blah...</form>
  <div class="links-section">blah</div>
</div>

.top { position: relative; background-image: url(blah); }
    .quote { position: absolute; top: blah; left: blah; etc. }

    form { display: inline-block; width: blah; margin-top: some negative number; }
    .links-section { display: inline-block; }

<form ... blah>
  <div class="top">
    <div class="form-top">form fields that go in the top</div>
    <div class="quote">blah</div>
  </div>

  <div class="bottom">
    <div class="form-bottom">
      form fields that go in the bottom
      includes "form section" and "form bottom" in the image attached
    </div>
    <div class="links-section">blah</div>
  </div>
</form>