For this form you're trying to create, that would be up to your developers to create on their end, as we don't provide direct support for custom development. We're always here to answer questions about our API and anything Acuity-related, but when it comes to a custom solution, that would be in the hands of your development team!
PHP Tool Kit
Those two resources ought to help point your developers in the right direction in terms of utilising our API, including basic API access.
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