Convert Word document into PHP Web form

I need to convert a Microsoft Word document into a PHP Web Form.? This is a project for a small mortgage company. I already have a working web form (you can use as an framework and example) for Purchases.? This is? called a Purchase Mortgage Planning Questionnaire located here: [login to view URL] I would like the identical style and look as the Purchase web form (see link)? only modified for refinances (see Word document for content). I think you should be able to use the code from the existing web form and just modify it to create this web form. ## Deliverables I am attaching a copy of the Word document to convert into the new PHP Mortgage? "Refinance"? web form.? Please use the existing style from the Mortgage "Purchase" web form as your guide (<[login to view URL]>). * * *This broadcast message was sent to all bidders on Wednesday Dec 10, 2008 4:41:23 PM: Hello, I am trying to make it easier for everyone to understand this project. I have updated the ZIP file to include the code for the existing PHP web form (purchase form). This is the code you can use to build the new additional web form (refinance form). I would like the new Web form to have the same format and style as the existing. Also, the web form needs to email a copy of the completed report. The code ([login to view URL]) should show you what I am looking for with the new web form. Thank you for the bids. * * *This broadcast message was sent to all bidders on Wednesday Dec 10, 2008 4:51:20 PM: One more item to note... The existing web form will email a report. It does not save in a database. I believe the additional file I updated ([login to view URL]) in the ZIP file will show how this is done. The new web form you are building should operate exactly the same way. Thank you.