I need a site similar to GLASS.NET!

Hello everyone,

I am in desperate need of a script similar to http://www.glass.net

I am going to collect a few addresses and prices of car window tinting places in my area (New Jersey) and I want people to be able to come to the site and fill out a form with their specific model and year of their car/SUV/truck and which window(s) they want tinted, and fill in their zip code and other info as well. Then I want the script to instantly use the database of places to find the top 3 cheapest and closest shops to the user's zip code. I DO NOT WANT THE USER TO BE ABLE TO SEE THE TINTING PLACE'S ADDRESS OR LOCATION, JUST HOW MANY MILES AWAY IT IS FROM THEIR LOCATION. The reason for this is I am making an affiliate profit off of each sale generated through this site, so if they can see the address and phone number they will be able to go straight to the shop, which is NOT what I want. Then, the user can choose which place they want to go to (they will choose by price or distance), and once they select a shop they are brought to a page where they can pay for the service. Once they pay they are either brought to a new page with the address and phone number of the shop they selected, AND/or get E-Mailed a confirmation to their selected E-Mail address with the same info (both the page and the email would be great). Each shop's price will change obviously depending on which car the user selects.

Can anyone do this for me? I need this A.S.A.P.! Please feel free to ask me any questions. The person who can make this look like glass.net and bids the cheapest will get the job!

Please let me know your bid, and how long it will take to get this up and running.

Thank you very much!

Sincerely,
Scott