Php/joomla Form

I need a form that has 5 fields. Then once someone submits it I need it organized by state and have it look like this:

Michigan
Voter Number – Name

I need this based on the people who fill out the information. Need this done asap. Thanks!

I also need an accordion setup on a two joomla articles.

I also need a counter connected to Google checkout so when someone purchases something the counter goes up by how many are purchased etc.

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