Need Four Forms Made For Website.

I need 4 forms in php. The layout I want is form AgentForm. I want sample.pdf is the functions I want in 1 of the new forms.

Here is a link for the form. http://www.annexware.com/partzfx/form4.php

This form needs the functions in sample.pdf added to it. Here is the original form location.

https://www.safelite.com/sslPages/service.jsp?CLICKED=SCHEDULE

Need this form same layout as Agent Form. http://www.bullseye123.com/employment.html

Need this form same layout as Agent Form
http://www.bullseye123.com/windshield-repair-form.php

On this form add the vehicle year make and model to the above form.

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