i need a form that capture name, address, zip, etc. this form will have a button called ready to order. Once this button is clicked, the customer will go to a one page check out form where the name, address, zip, etc will be pre-filled from before. This one page checkout will also have a credit card, cvv, and date of expiration field that will be entered by the customer. This form will be on a secure server, and the credit card must be validated with expiration date, etc.
I will need to be able to add my merchant account and processing company together with the price of the product. its only one product and cost [url removed, login to view] USD.
at the end all the information entered will be stored on a mysql database