527751 Need a Simple PHP Script

Hi, I am looking at a proficient PHP Coder to code a PHP Script for me. The script will be used on an offline machine using either EasyPHP or Xamp. Here is what the script is supposed to do. 1. On the Home Page - the following fields need to be present. - Customer Name (Text Box) - Customer Package - Drop Down - (Package 1, Package 2, Package 3 upto Package 6) Example Below - [login to view URL] - At this stage depending upon the Package Selected - it takes to a page with Customer Name at Top and below the Package selected. For Package 1 - 6 Sub Entries (Sub Entry 1, Sub Entry 2, Sub Entry 3, Sub Entry 4 Sub Entry 5, Sub Entry 6) For Package 2 - 7 Sub Entries (Sub Entry 1, Sub Entry 2, Sub Entry 3, Sub Entry 4 Sub Entry 5, Sub Entry 6) For Package 3 - 8 Sub Entries (Sub Entry 1, Sub Entry 2, Sub Entry 3, Sub Entry 4 Sub Entry 5, Sub Entry 6) For Package 4 - 9 Sub Entries (Sub Entry 1, Sub Entry 2, Sub Entry 3, Sub Entry 4 Sub Entry 5, Sub Entry 6) For Package 5 - 10 Sub Entries (Sub Entry 1, Sub Entry 2, Sub Entry 3, Sub Entry 4 Sub Entry 5, Sub Entry 6) For Package 6 - 11 Sub Entries (Sub Entry 1, Sub Entry 2, Sub Entry 3, Sub Entry 4 Sub Entry 5, Sub Entry 6) --- Each Sub Entry will have it's own Page, which the items included in the concerned Sub Entry - These items need to be listed and should be selectable via Tickbox besides each. Example Below - [login to view URL] --- Once the user has selected all the options in each of the Sub Entries - he should be taken to a page where all the sub entries along with the options selected should be displayed in a printable format. -- You need to use terms such as "Package 1" - "Sub Entry 1, 2, 3 etc" and "Options 1,2,3 etc." - the remaining will be edited by my staff. -- Once this package is created, it should be archived and be accessible. Need this super urgently. Will pay $200 for the above, once all the files are fully and completely delivered. No escrow, Part payments or any payments outside of Scriptlance. Will require 100% clean, commented and experienced code. I am a developer myself and amateur work will be immediately caught and discarded. The programmer who can deliver the fastest will be given preference. Show previous work to gain preferences as well. Enter "Paiuy" in your message to me to show that you've ready this completely.