Write some Software -- 2

Screen printing & Embroidery company in need of a custom quote form. Form needs to be able to pull from a price chart accordingly as well as other variables including # of locations, # of colors, quantity, blank apparel cost/options, etc. Will need to be able to place on website for customer easy access, can provide examples. No need for complex t-shirt design software, though a quote for that as well would be taken into consideration & may be needed in the future. I can create the layout in Photoshop if someone can code it for me, thank you.