I have set up php on IIS 6.x a number of times. In that context, I have to change IIS itself to run as x86, and I can manually add php as a cgi extension.
The app I am using supports php 5.3 as the highet php version. So I can't use the nice new x64 supporting php versions, and the IIS native php support.
Where can I find docs/steps to set this up?