Can someone help me with Forms?

Hello guys,

I need a form like this http://i50.tinypic.com/2hdtv00.jpg , can you help me build it?

Thanks

 

Show us what you got already. Or you expect to someone make it all for you?

 

Ok after making the form and we give the codes, how you will processs it.

Or just the codes are enough

 

here...

<form action="" method=""><table width=100% border=0><td width=50% valign=top>Name:<br><input name="name"><br><br>Email:<br><input name="email"><br><br>Phone:<br><input name="phone"><br><br>URL:<br><input name="url"></td><td width=50% valign=top>Project Details:<bR><textarea name=project_details rows=10 cols=50></textarea><br><input type=submit value=Submit></td></table></form>

Code (markup):

 

Hey Guys & Girls:

I cant give you the link because I'm still on probation here

So I will do my best to explain the problem I'm having:

I have an aweber form that I have added to a wordpress blog "Not the on every post kind"

I use different forms for different subjects and topics,
I copy the HTML code from aweber and take it into dreamweaver then insert the form into a table get it looking the way I want then copy and paste the script into wordpress.

The problem is: The form looks sweet in dreamweaver but when I put it into wordpress its about twice as long (vertically) as it should be. I have tried heaps of things to fix it but havent been able to figure it out yet.

Any advice greatly appreciated.