create php form that saves to mysql database

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Bids
30
Avg Bid (USD)
$21
Project Budget (USD)
$25 - $30

Project Description:
I need a php developer to create the same form as the link below using PHP. In total 3 pages. [form, confirmation, and list page]

Here's the sample form:
<http://www.edatacards.com/Merchantapplication.php>

Here's what I need:

1.Create a form using the sample link
2. All fields on the form are required
3. Save form data in a mysql database table
4. On submit the form will send 2 email messages. A message to sender and a message to a designated mailbox. The sender's email is the person email on the form. Also, display confirmation message on the page that the form was submitted sucessfully.
5. Create a seperate list page that list all new records in a table grid
-sort data on list page by date and time the form was submitted in descending order.

Skills required:
Engineering, MySQL, PHP, Project Management, Software Architecture, Software Testing, Web Hosting, Website Management, Website Testing
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