Php Mysql Form Script

Php Mysql Form Script
1) Project Details: (be as specific as possible): I am in need of a php/mysql form script. I would like my client to be able to fill out information that is submitted to mysql db. I also need the script to be able to retrive the information from my database. I need this as soon as possible.

2) Payment Amount:

3) Payment method/ details (Paypal, check? Timeline?): Paypal

4) Additional Info (about project or potential bidders):

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