CUSTOM Perl Script

What I need is a CUSTOM Perl script. I say custom because I don't want a completely cheap and cheesy script like all the other crap I've downloaded. Basically, it will be a script that takes a form, and submits the data as an email, but through a specified template which is specified as a hidden field. Please see the attached documentation for complete details. ## Deliverables Complete and functional script which works 100%. All source code and a workable version that can be placed on website immediately. Complete copyrights to all work done. ## Deadline information Must meet requirements and demands specified in attached document. I request for the script to be finished by 12-31-01, possibly a little longer, but sooner the better!