.NET Form (Easy but need ASAP)

I have a simple form with the following needs: Drop down boxes for location, name, meeting type and a date field as well as a general text field for comments. I will give you all the info and db table info to use. This should take a pro an hour to do. DO NOT CONTACT ME ABOUT THIS BID IF YOU LIVE OUTSIDE THE US AND WILL NOT BE AVAILABLE DURING US BUSINESS HOURS. I need this completed asap and the person needs to be available afterward for any changes/corrections.