Hi,
Hope you find this message in good health.
I have read your UI requirement and I am confident enough to complete the same. It seem to be simple one but still we need to discuss further if you have got any wireframe/desgin what you need actually.
My profile is as below:
I have done masters in computer science. I have 10+ years of experience. I have worked with reputed MNCs like Siemens. I have very strong hands on C#.NET, MS SQL, MS Access, ASP.NET, WCF, WPF, VC++.
Hope to hear from you soon.
Thanks!