Database with simple web interface

I am looking for someone that will be able to write very quick solution for data collection into database with web interface. I currently have excel sheet (attached) that have information about USER name computer model , computer name and email address… this will be uploaded into the database (which you create) and user will need to login into web link and use type their ID or email address . once they click confirm list of computers associated with their name will show up. Then It will need to ask the following questions; Is this PC correctly associated with me? Option (YES/NO) Is this PC critical for performing my job duties? Option (YES/NO) Select how PC is primarily used (Option menu ??" see excel sheet) Comments: After user input all this information which is mandatory he will click on confirm and all this data will be saved into database. I would prefer to use Access since it’s the only database I own license to also I would need some language for web that I could easily install on regular computer with IIS and start using it right away… Please see attached file for excel file example that will need to be converted into Access and for scanario with real life exmaples. Please note i will need this project to be completed in 2 days... i know that it can be done in 2 hours since there is not complicated requirments... Please remember it need to be very easy to implament on computer with IIS. ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows? (depending on the nature? of the deliverables): a)? For web sites or? other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software? installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform Access 2000/2003 WINDOWS XP IIS Server