PHP online quote page

Transportation Quote Page: 1. This page should include 2 nice images and a form that will look like the “Get a shipping estimate?? section of the following page: [login to view URL] If a customer fills the form, a script behind the scenes should go to the website mentioned above, submit the information, parse the results, add -$10 to $10 to the price and pass it to the user. If the user is interested, he should be able to click on a button and get to a form that will allow him to submit his information to us in order for us to contact him. We do not have a special API to retrieve the information from the website mentioned above. You will have to submit the parameters to the website, retrieve the information in the background, format and present it. ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform PHP 4 (Preferably) or 5. Code should be well documented, stable and organized.