Work Request Form converted to Flex

I would like this adobe form converted into a flex application to run in Adobe Air. This will be used for demonstration purposes so the specifications are loose and centred around looking good. The form attached should be used as basis only for creating the flex application. The user will need to select from one of 5 Manufacturing Plants each having an image. Once selected, the user will need to select a part that belongs to this Plant maybe 10 parts again each with their own image. Once this is done the user will need to select from one of three request types - see attached form Once the request type has been selected the user will need to select from one of the four priorities - see attached form. Once the priority has been selected a 'Problem Description' text are will appear. After this the Submit button will become active. In this stage of development the information does not need to submit anywhere but I may undertake a second phase of development where it will need to be enhanced including submission. Images can be sourced from anywhere on the net (if not too fussed).