creating an online application form(repost)

I need to implement an online application form for users to fill out their contact and property's details in order to get a free home valuation report. The application form is similar to those in the following sites: [login to view URL] [login to view URL] [login to view URL] You may use postcode 2200 to try those sites out and have a better idea on what is involved. the application form should be implemented to my website URL: [login to view URL] The purpose of the application form is to receive and record the user's details and an email is instantly is sent back to the client email address with some relevant information that I will provide. please note that I am only covering about 100 suburbs\postcodes. **NEW MESSAGE**: please be aware of the fact that creation of a database and admin side is involved? The site at the moment is static HTML. So after he user submit his details through the application form, I need to implement an automated system to perform the following:- 1- record the details that have been submitted 2- retrieve from the database the relevant file in regards to that suburb\postcode and email it back to the user's email address as an email page. I am open for further communication in order to clarify the requirement. I can also be contacted through IM. Gtalk: andrezoghaib[at][login to view URL] Skype: andre_zo[at][login to view URL] I am also willing to increase the bid. Regards Andre Zoghaib ## Deliverables any further inquiries or any clarification needed, please do not hesitate to communicate it with me on RAC chat. **UPDATED MESSAGE:** please be aware of the fact that creation of a database and admin side is involved? The site at the moment is static HTML. So after he user submit his details through the application form, I need to implement an automated system to perform the following:- 1- record the details that have been submitted 2- retrieve from the database the relevant file in regards to that suburb\postcode and email it back to the user's email address as an email page. I am open for further communication in order to clarify the requirement. I can also be contacted through IM. Gtalk: andrezoghaib[at][login to view URL] Skype: andre_zo[at][login to view URL] I am also willing to increase the bid. Regards Andre Zoghaib