Create Sign-up Form for Website

I have purchased the following template and require a 5 step sign-up form similar to [login to view URL] to be created. Purchased Template: [login to view URL] Step 1: Contact Information Required fields: First name, Last name, Email, Mobile Number, Name of Agency, Address 1, Address 2, Suburb, State, Postcode, Website, Repeat the words below (with functionality). Step 2: Verify Email - needs to send an email to the email address to get the user to verify it. Step 3: Select Area - needs to present in a user friendly format the State, Suburb and Postcode of all postcodes in Australia (I can provide a CSV file) to they can select the required postcodes (can be multiple). Need mySQL table created to hold data and also whether or not a suburb has already been taken and if so, show that it is not available however they can choose to go on a wait list for the suburb. Step 4: Upload Graphics - need ability for user to upload their logo and photograph - must be either JPG or GIF file and high resolution (page needs to check that it is a minimum resolution). Step 5: Done - Simple page to thank them for choosing us and that we will be in contact. Please note that the flash is currently being modified as a separate project. I can escrow the funds now for the selected worker and provide the required files. I would like work completed ASAP. Software Requirements: Adobe Dreamweaver 8+