Mockup Print Cheque Form in VB 2008 Express

I have written a payroll program in Visual Basic 2008 Express and i have a print check button. I want the button to load a mockup cheque form in which the employee that is logged in name is on the form and you choose the date from a calender on the form. The calender and employee id is already connected to an access database so it should be pulled up easily from the code already in the program. You will understand when you see the program. This is not a big task so i was thinking less than $100.