Create joomla form to collect data

Hi, we requires to Create joomla form to collect data. Deliver as Module/plugin/Manbut/component Joomla 1.0.X Create a form in joomla with 35 fields, 8 drop down fields, 1 file upload gif or jpeg 100 by 100 pixel limit, The rest of the fields are numeric, alpha and alphanumeric. Most fields are required some are not. The confirmation On the confirmation page the user will be shown all form entries made and given an option to edit entries or complete submission. Thank you page. All form submissions will be saved in the database and email sent to predefined email addresses Front end (1) The form (2) publisher(joomla user Publisher) has access to query the database form submissions by date range. and ability to guery the database entries from up to five additional fields. The query results are to display on screen or download to excel spreadsheet Back end (1)database backup and restore button (2)3 windows to add items to drop down menus. (3)Edit Form Title up to 3 lines centered over form (4)Edit Form footer up to 2 lines centered at the bottom of form (5)Edit Thank you page (6)Add/Edit Email recipients Payment : This is small task for any joomla expert. Max budget : 50$ * please don't bid if you not able to implement it with in our max buddget range. Please only bid when hou have previos joomla experise and able to implement it in proper way. Thank you.