HTML5 Webform with signature capture

I would like a simple web form created that will capture 5 fields of data in addition to a signature field (example: [login to view URL]). All data (including signature) will be submitted from the form and captured in a MySQL database. This form should be designed to look attractive and format correctly for a mobile device running Android or Windows OS. The form should also display well on a PC display, although mobile will be the primary usage for this application. Freelancer will be responsible for presentation and application layers: - Coding of the HTML form including the database connection and Post transaction - HTML5 using Canvas for signature capture - PHP - CSS - Any required Javascript to make this solution work All data layer tasks will be handled by myself. Freelancer should comment his/her code well and code should be written in a way that it can be easily modified (additional fields added, removed etc).