Web Page Sign Up Sheet

Hi, I need a quick and dirty sign-up sheet for my web site [[login to view URL]][1]. The website is running and there is a link that say Bow Wow Fund Raiser. Behind that link I want to call a page that schools can put in the there information to sign up for the program. I would prefer to use an access database that I will design, that way I can download it and look at the data. The site does support MYSQL and that is another possible solution. Here are the data points 1. School Name 2. Contact Person 3. Phone Number 4. Address 5. City, State, Zip 6. Start Date 7. Email address ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform windows