Order Form With Result Page

Order Form With Result Page
I need an form page where people can order shirts. They put in names, quantities and sizes and click submit. Then a result pages shows all orders that were made including names and quantities. I attached two files how it should look like. There must be a delete button in the result page, so that everybody can delete his order in case of mistakes.
The script should be dynamic as i sometimes have only one shirt sometimes i have 2 or 3 options for a shirt.
This is just for my club, so i don’t need any security features.

I’ll pay ESCROW as soon as the script is errorfree running on my server!

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