Form Creation In Flash Template

I have a flash template:
http://www.templatemonster.com/flash-templates/36109.html

i am doing most the configuration BUT I need a flash developer to create 1 flash form on one of the pages for me and have the results emailed out with a php script….

I will send you my flash file and you can make the needed form and return it to me…

the form will have fields for name, email, phone number, 3 drop downs and a date and time picker…

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