Joomla 1.5 Module For Hotel Search 2

I need a Joomla 1.5 module for hotel searching (see attachment) and insert it in home page like (see attachment) so you can see how the module work.

The module will save all parameters in a local xml file and redirect to another page.
Please, create a your test site, i need only to view the module to work, i will install the module on the web site after the module is completed.

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