Wordpress MySQL AJAX Form Plugin

I am interested in having a small Wordpress Plugin created which will allow me to display a form on a page, which interacts with a MySQL database. Here are the project requirements: 1. Form 1 displays the following fields: - Load Record (dropdown - containing list of existing records in db) - Load Button - Create New Button 2. Form 2 displays the following fields: - ID (readonly textbox - 10 characters) - Full Name (editable textbox - 30 characters) - Employed (radio button - displays a yes/no radio button choice) - Favorite Color (dropdown - displays the choices: Red, Green, Blue) - Save Changes Button 3. User can select an existing database record from Form 1, click Load button, and Form 2 is populated with the data from the selected record. 4. User can click the Create New button on Form 1, and Form 2 is blanked out, ready to receive input for a new record 5. User can enter/edit data in Form 2, click the Save Change button, and: 5a: If new record, then performs an insert into the MySQL database 5b: If existing record, then performs an update in the MySQL database 6. Error message is displayed if database cannot be accessed 7. Confirmation message is displayed whenever a record is loaded, updated, or inserted. 8. MySQL Database contains the following structure (can be changed if necessary to support the other project requirements): CREATE TABLE IF NOT EXISTS `information` ( `id` int(10) NOT NULL AUTO_INCREMENT, `fullname` varchar(30) NOT NULL, `employed` char(1) DEFAULT NULL, `favorite_color` varchar(20) DEFAULT NULL, PRIMARY KEY (`id`) ) 9. Form 1 and 2 can be a single Form is easier or more efficient. 10. Form(s) are displayed on Wordpress Page using shortcode 12. Form(s) update as appropriate to display loaded records and confirmation messages, using AJAX / JQuery Thanks for your interest!