Business signup form and database

We need a website for business to signup and have their data saved into a mysql database. Page details are attached. Overview: This is a website that a salesperson will use to signup businesses for display ads in a printed coupon book. The system would need to be setup like a shopping cart. Their will need to be 2 types of records in the database for customers: Potential Customers - have a saved cart but not paid Customers - checked out and paid The system would either Lookup a customer or setup a new customer: Page 1 - Customer Signup Page 1b - Lookup existing customer or saved potential customer Page 2 - Choose Market (these are categories of products) Page 3 - Choose District (these are products to add to shopping cart) Page 4 - View and Save Shopping Cart (or make changes) Page 5 - Ad Information (added by main admin for viewing) Page 6 - Design Your Ad (a wysiwyg editor would be on this page for designing ad) Page 7 - Checkout (customer checkout page) We would like to be able to show our client progress on this site within a few days. A mockup page will be needed in 2 days. ## Deliverables 1) All deliverables will be considered "work made for hire" under U.S. Copyright law. Employer will receive exclusive and complete copyrights to all work purchased. (No 3rd party components unless all copyright ramifications are explained AND AGREED TO by the employer on the site per the worker's Worker Legal Agreement). ## Platform Linux