33595 Change my checkout page (php)

I need a few things changing here. I am looking for someone experienced with php. See here dotcomsetup(.)com/[login to view URL], i need this changed. Where it has shipping information and then billing information, i just need the one form and the form just needs to have the following, Your Name: Email Address: Country: Telephone: (optional) Where did you find our site? (I will provide you with some options for drop down menu) There will be an options of yahoo, msn etc and also other, i will need a box underneath for incase they do choose other so they can add some info here. Domain Name: Comments: (There will be a big box here incase they want to add some comments) and also an important part i would like is a payment menu, this can either be drop down menu or a checkbox with options next to them. I accept 4 payments, Credit/Debit Card, paypal, stormpay and nochex so these will be the 4 options. These payment buttons will need to link up as they do already on this page [login to view URL](.)com/payment.php. If they choose paypal they will go to paypal screen if they choose stormpay they will go to stormpay screen if they choose credit or debit card they will just go to the pages explaining how they pay using these options. Check out the buttons first and see how it works When someone purchases one of my sites, me and the customer receive an email of an exact copy of the [login to view URL] page so this would have to be changed to so the email we receive is of the new form and form information added. Please only bid if u no what the project is and you are sure u can do it. I have attached the [login to view URL] which is the one tht needs to be changed. I have also attached a few other pages for you to look at. Please have alook to make sure you can do it. I would like this done asap so if u can do within a couple of hours please let us no.