Create form that pulls value from a database - WP Experts Only

Visit [login to view URL] Put this address into form, 58 gardens Way, London, UK , a random email, and 1 bedroom and press Let's Go. It will load a new page with a price estimate provided and then a new form to be filled out. I need the estimate form replicated identical (styling and functionaliyt) on my site. They use Google Maps API for the address auto complete, Bootstrap for form styling and functionality, and then a database to provide the estimate. The estimate is based off your postcode and number of bedrooms. The only difference is that my form will be based off cities, so a dropdown will have to be added to the form with the different cities. I have attached a spreadsheet that has all the different cities and price totals for the number of bedrooms. So what I need done. 1) Create database based off attached spreadsheet 2) Create form that has address, area, bedrooms, and email (Just like [login to view URL]) 3) Form pulls value from database and is loaded/stored and displayed on next page. 4) Value is included on second form. I need this done asap. Any copy and paste proposals will be deleted and rejected. Please tell me your favorite color and how you will complete this project. Thank you