514749 Photography Booking Form (Flash or PHP)

This project was awarded to mindprogram for $70 USD.

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A booking form, contained within an html page, that allows customers to fill out the form online and then sends it to me by e-mail (plain text is fine). It must have options i.e. when you answer yes to one question it adds a box to enter more information. I would also like, though it is not essential, for it to include a Paypal API at the end for the client to pay the fifty pound deposit.

It will include:

Wedding Date (with icon that loads calendar to enter date)
Bride's Name
Bride's Date of Birth
Bride's Address
Bride's Phone Number
Bride's E-mail
Groom's Name
Groom's Date of Birth
Groom's Address
Groom's Phone Number
Groom's E-mail
Contact (Select Bride or Groom or Other - if other display)
Contact's Name (if other selected)
Contact's E-mail (if other selected)
Contact's Phone (if other selected)
Contact's Address (if other selected)
Is Photography for the Preparation required? (Yes or No selection 1).
If yes to 1>> At what time? (time field)
If yes to 1>> Is the Photography at the Bride's home? (Yes or No Selection 2).
If no to 2>> Address for Preparation Photography
Is Photography of the Service/Ceremony required? (Yes or No selection 3).
If yes to 3>>Address of the Service/Ceremony Venue?
If yes to 3>>Time of the Service/Ceremony?
Is photography of the Wedding Breakfast required? (Yes or No selection 4).
If yes to 4>>Address of the Wedding Breakfast Venue?
If yes to 4>>Estimated time of the Breakfast?
Is Photography of the Reception required? (Yes or No selection 5).
If yes to 5>>Address of the Reception Venue?
If yes to 5>>Estimated time of the Reception?
Number of Guests?
Number of Bridesmaids?
Number of Ushers?
Name of Best Man?
Package; Silver, Gold or Platinum Selection
Videographer? Yes/No Selection
Deposit by Paypal, Bank Transfer or Cheque/Postal Order (selection).
>>If Paypal forward to Paypal API to pay and send e-mail to me with above information.
>>If not paypal then display "Thank you for your booking. We will be in contact shortly to provide details for the deposit." and send the above information by e-mail to me.

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