I need a car insurance wordpress quote plugin,

I want a wordpress car insurance quote plugin form, when the customer can compare the various car insurance plans listed on the platform and fill in their various details plus car registration number, and the should be able to select from a drop down their car type/model. and also they should be able to choose from 2 plans under each broker.

Lastly, they should be able to print their insurance form after the and also pay instantly. Here's a link to the sample : http://www.directline.com/car-insurance