Visual Studio - Input Information to External Application

You will be working temporarily in a highly confidential system. Any abuse of this system, IE: using it for anything other than what is asked of you, will result in you not getting paid. **Note: This MUST be done in Microsoft Visual Studio 2010. I need the source code of the project, not a finalized application.** I need a simple GUI with textboxes for information (from the circled fields in the image below). These textboxes will be input into the external application (I am assuming via API functions). I also need you to figure out how to select one of two choices (i need functionality for both) ![][1] ![][2]