ONE (1) HTTPS PAYMENT FORM DETAILS

Hello, We need you to make an SSL payment form for a customer site. The order form will be submitted from a separated site and the customer will be redirected to the secure site which has the SSL to enter the payment details. Customers will be then forwarded back to the non secure site just to see the confirmation page. This is a one basic form project, the SSL page will have no linking with a bank or API. Just need to have the info entered sent by email securely. After checkout some of the values (except the CC info) will be passed to the confirmation page. This project should be done within 3 days maximum and will be paid by GAF escrow only. The best bid will be chosen. The customer site has already the SSL certificate. We will forward you the login info etc so you can build the unique form. Please mention any similar work you may have done earlier if you have any. - Coding should be in PHP.