Drupal 7 form and Kashflow integration

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I would like a custom form created for my Drupal 7 website, this will be used to raise jobs.

Once logged into website I want to see a button 'Raise Job' this then pops up a form with the following fields

Purchase Order:
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The purchase order is a box where I can add purchase order numbers, there are occasions where we dont have purchase order numbers, for this I'd like a tick box which when ticked will generate a 5 digit number in the purchase order box - note the tick box is to be used if we do not have a purchase order number.

The Client box would be a drop down box where I can select clients names (30 character single line) and have an option to add new clients

The Date box will automatically populate with the current date

The Description box is a simple text box

Close job, this will not actually be a text box or button and doesnt need to be visible but we need to query the accounting site to see if an invoice is paid, I believe the only way to do this is to query the invoice on the accounting program via the purchase order number.

My accounting program is Kashflow, this supports SOAP API, See [url removed, login to view]

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