Hi :)
A very rough draft scribbled in Writer (or even Draw or Gimp or something)
might be enough to give us a better idea of how you plan to lay the form
out.  Note that if you view the link in Nabble and reply to one of the posts
then use

More - "Upload a file" - Browse

(which is about the same technique as attaching a file to an email)
Regards from
Tom :)

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