Online Webstore - Directory Submission Service

Hello, i am looking for a webstore to be made in order to sell my Directory Submission Services, the site must let users fill in the following Your URL Your Name Your Email your keywords (20 max) your description (200 words max) your category (max 6) Your title (used as anchor text) then let the user pay via paypal, the information they send has to be then sent to me so i can do the orders. for example [login to view URL] has the right idea of what im looking for. i would like a back end panel put in place so i can see who has paid and be able to gather the information from the site back end. i would also like to be to edit packages and prices aswell as add new packages and services to the site. for example 100 Manual Directory Submissions only $5.99! (1 Days) 200 Manual Directory Submissions only $8.99! (2 Days) i maybe want to add these at a later date 100 Manual Directory Submissions only $5.99! (1 Days) 200 Manual Directory Submissions only $8.99! (2 Days) 200 Manual Directory Submissions only $8.99! (3 Days) 200 Manual Directory Submissions only $8.99! (4 Days) i would like to able to do this via the backend if possible. any questions please ask. ## Deliverables looking for a webstore to be made in order to sell my Directory Submission Services, the site must let users fill in the following Your URL Your Name Your Email your keywords (30 max) your description (200 words max) your category (max 6) Your title (used as anchor text) and a place for me to put the number of Directory and a price the site has to then let the user pay via paypal, the information they send has to be then sent to me so i can do the orders this might be best done in the backend of the site like a admin panel so i can login see the user has paid and then get the information i need to carry out the service such as url - title. once the user has sent the funds i need a thank you page saying that there order will start soon. i love the idea of this site below so something based around this will work for me [login to view URL] what im after is a fully working directory submission service shop like the one above with the ability to login to a back end. i need to be able to edit and add directory submission packages to the site aswell.