SIMPLE MS APP

I need a program to be able to store data from gambling (match betting) The program will have a tool bar at the top to input data ( see attachment as a reference guide!) When I click "POST" it will post all the data into the summary page so I can track all bets and any outstanding! See attachment YOU MUST USE VB I will own the source code after completing This is the base.. more updated needed... but one step at a time :) - I am a repeat hirer, check feedback!