Create a simple page

Create a local site with two pages.
1 page of authorization,
2 page window with a couple of buttons, a couple of checkboxes and a couple of text boxes.
There must be a user base connected to the authorization,
Also the base for unloading in the text box.
The user enters the site, logs in, selects the desired parameters on the check boxes, fills in the data, and presses OK.
The data filled in by him is written in the dd, from the same dd the number is issued to him.
Roughly speaking, a regular magazine.
No design is needed. You need a local version of the site for denwer.
The best offer will be selected.