A small PHP, Mysql database seacrh script

Need a small php mysql script that exactly like the following. [login to view URL] we required it very urgent. can use any details with 5 form fields and display records. script function exactly like in the above url. ## Deliverables Rent A Coder requirements notice: As originally posted, this bid request does not have complete details. Should a dispute arise and this project go into arbitration "as is", the contract's vagueness might cause it to be interpreted against you, even though you were acting in good-faith. So for your protection, if you are interested in this project, please work-out and document the requirements onsite.