I need a date picker form and duration calculate

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Experience Level: Intermediate
I need something like http://www.petstay.net/payment-page-norfolk ... except on the right I want it to go to Worldpay with my credentials instead of Paypal.

The plugin that is being used at the moment is 'calculated fields form' but does not have a world pay option. I have no direct access to the site so the page code will need to be embedded in a wordpress page template or some other solution, a custom plug-in perhaps.

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