Need with a PHP script. Due in 2 and half hours.

I only need 9.10. 9.9 is just there as a model. 

9.9 Write an HTML document to create a form with the following capabilities:

a. A text widget to collect the user’s name

b. Four checkboxes, one each for the following items:

i. Four 25- watt light bulbs for $ 2.39

ii. Eight 25- watt light bulbs for $ 4.29

iii. Four 25- watt long- life light bulbs for $ 3.95

iv. Eight 25- watt long- life light bulbs for $ 7.49

c. A collection of three radio buttons that are labeled as follows:

i. Visa

ii. Master Card

iii. Discover

9.10 Write a PHP script that computes the total cost of the ordered light bulbs from Exercise 9.9 after adding 6.2 percent sales tax. The program must inform the buyer of exactly what was ordered, in a table.