data entry form

I have a domain name, I am looking for a coder to create a plain form on my site so I can enter callers name, phone, email, and about 6 other bits of info about the callers into a database. I then want the ability to view the records of the callers on another page. I have some computer experience but would like this created with a db simple enough for me to make changes or additions to in the future. I am open to suggestions, I was thinking access or mysql