Small form and database Required

Project Description:
Affiliate Id
Password
(once logged in they can reset pass word by using enter old password - new password - confirm new password)
The first ID and password will be handed to the affiliate by myself so there is no registration process
_________________ FORM PART ______________________________________

Requirement 1 -- DROP box -- Option 1 - Option 1- Option 1 - Option 1
Requirement 2 - text field
Requirement 3
Deadline -- calender should appear and option of entering it in ddmmyyyy

Requirement 4 - text field-- 5000 words capacity
Requirement 5 - drop box - Option 1 - 10

attach file 1
attach file 2
attach file 3
attach file 4
attach more files....

Copy of all fields sent to Affiliate and one copy sent to me !

When Affiliate logs in the top of the page should contain the Affiliate rates £100 per X £ 200 for Y (These rates should should be editable by myself )
based on this calculation a quote should come on the bottom dynamically . Its a simple mathematical calculation required to generate this quote !

_______________________DATABASE PART__________________________

Will contain about 4 requirements mentioned by affiliate and the status of the order. the order status will be editable by myself.

So there should be a separate log in or method for me to edit the details.

can show you examples if required ! once your basic quote has been submitted this will also be an ongoing project .