Online Forecasting Form

Online Forecasting Form
Please see the attachment I want to make a simple HTML form that will calculate the users input based on the forms in the attachment. I need it neat and will manage the CSS once I have it. This will end up in my WordPress blog so as a copy and page on a template page so please make sure that it will work there as well. My budget for this $25.00 good luck bidding!

FINAL DELIVERABLE:

The final deliverable will be an HTML form with the fields that is found the attachment (SEE PDF ATTACHMENT). So when a user enters their information it will calculate based on the formulas. Any questions if you are not sure ask me!!!

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