19430 PHP form work

Hi, I need a fairly simple PHP form made. It's a renewal form for membership to our site www.lookstein.org. Here's what I need it to do: 1. User will put in membership id in form. 2. Form pulls up info from database. 3. Have the option to allow user to edit info. 4. Have option to change status from Individual to School/Organization. 5. Next step allows user to pay via PayPal. 6. Then have thank you page. It's pretty simple. I can do this myself, but I don't have the time. I need it done as fast as possible and as CHEAP as possible. I have included the edit form taken from an admin page we already have. I look forward to working with you. Barak