php form modify

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Project Budget (USD)
$30 - $250

Project Description:
i need to change some functions to a form that i have. The form is in Php into a CMS called sympony (
actually functions: the ueser give name, email, submit and he receive a mail with link.
Now i need that they must acept 2 radiobutton before send the form, if they don't acept the conditiones the form give a message for example: not possible because you don't' acept the conditiones. Better if it's possible to store the info of person that register (they can register may times) as a txt, csv for example
step2: i need on a imagemap that when the user go on mouse over the region it lights. Also this page is in php

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