EDIT: I've already prepared the first page of the document (page 2) and added all the form fields to it... If you send me a message I would send it to you so you could see the quality of my work.
Hi,
I specialize in creating custom-made, interactive PDF forms, including all the scripts to submit them, validate the user's input, calculate certain values, etc. I can do this form for you quickly and professionally and can start working on it right away.
You're welcome to check out my work history on this site and see some of the PDF-related projects I've worked on in the past.
Regards, Gilad (try67)