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 http://www1.octopustravel.com/searchAction.form (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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