Code for Form on Wordpress Page

Create code for a descriptive page to collect user data, prices, no. of persons etc., on completion code to email admin and email user a confirm. Page part of Wordpress based website hosted on own server. Will need two versions of form - first at bottom of descriptive page, second as a standalone page with code for button link from descriptive page. Form to contain drop down date selectors etc. ## Deliverables This solution is required within a reasonable time frame, I am thinking a week or so would be more than adequate once agreed. I will want the programmer to test one version of each type of code using simple dummy pages to demonstrate program ability to operate.