Very simple form in PHP, and a MySQL table that stores the information on it.
This form should be designed using jquery templates which , and that design needs to be done to another form, which now looks like this ([url removed, login to view]).
This job needs to be done today.
This is doc with form structure:
You will also recieve the source code of this form (http://dehed.com/objects), in order to design it with a better jqeury design, the same design you will create the new form in.