Update and move a php new account sign up form

Update and move a php new account sign up form

Cancelled

Job Description

My wholesale website (It's a standard html site.) has a php form for new buyers to sign up and open an account with us. It generates an html document with the information and has a link to export it into an excel spreadsheet. It currently resides on http://30minuteseder.com/wholesale. I need it moved to a different hosting account with a different url (http://30minutesederwholesale.com) and put in the new shell. Both hosting accounts and urls are at GoDaddy. You can see the form here: http://www.30minuteseder.com/wholesale/w_new_customer/new_customer.html
Just click on the orange "open an account with us button." I need it done ASAP. Will pay immediately when done.
If you already have a form that does the same thing and can put it into my shell, then that will work too. I just need a place for new customers to enter their information.