A Simle PHP Form

i need a Form like following Link ASAP

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and i need this abilities:

1. simple to use (a simple form)

2. Database must be in SQL.

3. create a simple view for DataBase(it is better to be Password protected)(for viewing information of DB)

i am a web developer, i know it is a simple and easy work about 1~2H for a pro-person.

max bid: 50$

Thanks.

Akbar Goldust.

ASP Data Entry PHP Website Design

Project ID: #248957

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