Multi-part Service Order Form

I need an order form created.

On the first page, I want people to be able to select the service they want to purchase, they should be able to select multiple services (and I want to be able to add/edit services and pricing for each one) and at the bottom of the form should be a field for their name and email address, the form would create a running total for the services they have selected.

Once they are finished selecting services, they should click continue to payments, where on the next page it would show the services they selected with the total cost and an order number, and give them four payment options.

One would be “Credit Card”, the second would be “Paypal”, the third would be “Send Credit Card Invoice” and the fourth should be “Send Paypal Invoice”.

If the person selects credit card, they would be sent to a secure form where they can enter their credit card number, credit card type, CVV number, credit card billing address etc. (I will provide the SSL link for you to use)

If the person selects Paypal, they would be sent to Paypal to make their payment.

If they select Send Credit Card Invoice or Send Paypal Invoice, they would be sent directly to the final order detail form where they can enter details about the services they have ordered and then finalize their order from there.

Once the payment is completed on either Paypal or the Credit Card form, they would be sent to a page where I can get the details for the services they want provided (final order detail form). This would just be a simple form with a large text area field and a URL field (though I need to be able to edit this and add new fields as needed).

When they are finished entering their details, they can hit “complete order” and all the details of the order are then sent to my email address.

An order confirmation should appear on the next page with their order details and they should also be sent a copy of the order to their email address (if possible).

Since I am integrating this with a WordPress site, I would like to just simply have the ordering link open in a new pop up window that takes up about 1/2 of their screen, so they can still see our website. So it does not need to be integrated with WordPress, HTML is fine.

(note that credit card processing does not need to be integrated into this form, I just need the credit card details sent to me, I will then manually process the credit card myself)

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