Add-on Donation Addon + Form in it


I am looking for a Donation addon (extra site) for PayPal which includes:

+ PayPal Function
+ I need "2" Donation Sites which have different fileds (see below)
+ Donation module contains:
  • Choose from a button which says: 10€ (My Text), 15€ (My Text) and so on
+ In the Donation there should be a form with some fields which I can create (2-3 extra fields are enough)

I hope someone can help me with that.
Sorry for my bad english.