I want? a php template that I could easily go in and change the field names (the form will have around 6 fields). Each template would have its own database which I could host on a linux server with mysql.
It is a web based form that has some basic logic and I would want it to use the pay pal payment buttons and total the amount of entries for payment.
I am attaching a diagram of what I want, you can leave out the remove number from call list button.