I need a page that allows my customers to fill in order information and be able to be sent to the right paying page and charged the right amount of money for the product/service selected also the order details need to be sent via e-mail and added to a database
## Deliverables
Stage 1) Customer selects product/service from the website, customer gets directed to page.
Stage 2) Page displays a title of the product/service the customer selected
Stage 3) Customer fills in form that contains:
1. Full Name
2. E-mail
3. Contact Number
4. Address 1
5. Address 2
6. Town
7. County
8. Country
9. Post Code
10. iPod Serial Number
11. Computer operating system
1. Windows
2. Mac
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1. Windows
2. Mac
12. Message
13. Payment type
Stage 4) Information from the form and the product/service the customer selected is sent via e-mail to <order@[login to view URL]> and submitted to a database, the customer is then directed to the page depending what payment method they selected and the price of the product/service.
**Example**
** **
Customer selects to have their iPod Nano 3rd generation screen replaced.
The page displays this at the top above the form.
Customer fills in the form selecting to pay via Paypal.
Form details and iPod Nano 3rd generation screen replacement are sent via e-mail to <order@[login to view URL]> and added to a database
Customer is re-directed to the Paypal site to pay the amount of the screen replacement.