Create web form that will submit data via redmine API to a bitnami redmine installation

Web form needs to look roughly like the attached excel mockup (see comments on the cells for field formats). This will be sent to a redmine 1.3 installation that is was installed via the bitnami redmine stack on a windows machine. The stack includes apache, mysql, ruby, etc. I will provide the mapping of the web page fields to the redmine fields once bid is accepted. [login to view URL] [login to view URL]