Hi.
I have read through your project description, I understood your requirement and I believe I can create an editable/fillable form from the attached pdf.
Relevant Skills and Experience
I am a professional graphic designer with cognate experience in LOGO DESIGN, BROCHURE DESIGN, POSTER, BANNER AND FLYER DESIGN, PHOTO EDITING AND IMAGE MANIPULATION.
Proposed Milestones
$25 CAD - Project Fee
You can check my portfolio at https://www.freelancer.com/u/datasoftsolution.html