we need to have a form like the file attached, but in php,
with all the option.
but when select a option(standar, semi-aerien.....etc price need to be added to a cart
price are located in a database
once the form is completed the customer need to pay via paypal, and only once confirmed by paypal the email with all information need to be send to 3 emails address
this need to be in standard background design as it will be join to an already live website on a later stage.
please look to the html file join as its the form needed.
thats need to be done in 2 days.