Simple one page html5 form that can post to a MySQL database and then show the results on the same page.
Page would have the fields on the right and show the results on the left.
CSS to style the form
More details when picked to complete this project.
Thanks to post this great job.
I am very interested and I am available to start asap.
I can do this within today.
Look forward to your hearing.
All the best.