Request hosting package

HEllo folks, I need an **php** script for my web site. This script must to have fields with name, adress, billing code, and many more(i will give to you the exactly numbers and name of them). At the bottom of the page, i need to be some specials fields 1. Name of the client 2. Phone number 3.e-mail adress of him [login to view URL] of him 5. Domanin name field (here will be an drop down meniu with the options: *Yes i have a domain *no! and i want one (billed with 39 dolars) no and i need one (billed with 10 dolars) 6. Domanin name 7. Tipe of package (here will be 6 types ) 8. Period of the pay (1.2.3.4.5.6.12 months) 9. Where din you here about us? (here will be some options) Those fields will be automaticly memored in a mysql data base. After that the script must to calculate the type of the package multipled with the number of months multipled with 19% and plus the cost of the domain (39 or 10 dolars, depainds by the tipe selected by the customer). In the seccond page will apears an invoice with all details of the products buyed by the customer. After he press continue the process the script must send 2 e-mails with the invoice, one for him and one for me and then will stock the fields mention above in an mysql data base I wait for your questions. ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Installation package that will install the software (in ready-to-run condition) on the platform(s) specified in this bid request. 3) Exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform windos all, and modzilla