Make Form with Backend Data Display in Table in Wordpress

My budget for this is around $10. I am building a membership site on a wordpress blog. In my membership site, I give my members a product every week. I also want my members to be able to request products from me via a form. So my members should be able to submit a request. To make a request, they need to fill out a short form which asks them, their "name" and the product they wish to request. They are allowed to request only one product every week. So this means that if they try to submit more than one, within 7 days, it wont allow them. So this also means that the script will check the membership status and when they last submitted a request. In other words, you have to delve into the membership script and tie it in with that. Then on the backend, I will have a table with a list of requests along with who submitted them and the date etc... I will be able to sort by any of the fields. and I should be able to separate the view to the last 7 days or month etc... If you can you do this, get in touch. ## Deliverables 1) All deliverables will be considered "work made for hire" under U.S. Copyright law. Employer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the employer on the site per the worker's Worker Legal Agreement). 2) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 3) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Employer's environment--Deliverables must be installed by the Worker in ready-to-run condition in the Employer's environment. b) For all others including desktop software or software the employer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this project. ## Platform Wordpress blog and DAP membership script