Custom order form

I need my "Wedding product" custom-built online order form to be completely redone. I need somenthing clear and nice and I also need a "clean view" of the informations when submited from the form,maybe the selected options in different colors. The order form will have some optional products with price.I would like the total cost display on the final page of the form. **Must summit to me, one sample of how the informations from the order form will be received. *ESCROW payment.