Create a responsive Payment Form

Create a simple page form that has some information like First Name, Last Name, Address, Phone etc. The form also needs to request the user credit card information. You need to process the payment using stripe payment. There is more information about their integration here [login to view URL] After payment is successful an email gets sent out to a collection of emails defined on the [login to view URL] with all the information. excluding ccard full info. Only last 4 digits, and including transaction details returned by the payment gateway. I need it by tomorrow.