My bid reflects ASAP billing and covers integrating the mail and mail_mime pear libraries into your form handler/mailer code to consistently format the email output, installation/assisting with installation of the Pear modules on your server, integration of jQuery UI to provide the date picker and tooltip features, and modification of form and form handler to accommodate the changes and additions to the form.
I will require a milestone for the full bid to justify clearing my plate for the full day I will dedicate to getting this done. I look forward to working with you on this project, thanks!