If you are new to coding then you are really diving in head forward, but hey if you get it done you will feel even better. You will have to make the form ofcourse and could then make a CGI script in perl in which you parse the form using CGI.pm for example (for more information about it type perldoc cgi) Then you have to contact the the database to store the information there is another node about it here. If you need more help I suggest you search around a litle because there is alot of information in already given answers.
Imagination is more important than knowledge -Einstein-
Are you posting in the right place? Check out Where do I post X? to know for sure.
Posts may use any of the Perl Monks Approved HTML tags. Currently these include the following:
<code> <a> <b> <big>
<blockquote> <br /> <dd>
<dl> <dt> <em> <font>
<h1> <h2> <h3> <h4>
<h5> <h6> <hr /> <i>
<li> <nbsp> <ol> <p>
<small> <strike> <strong>
<sub> <sup> <table>
<td> <th> <tr> <tt>
Snippets of code should be wrapped in
<code> tags not
<pre> tags. In fact, <pre>
tags should generally be avoided. If they must
be used, extreme care should be
taken to ensure that their contents do not
have long lines (<70 chars), in order to prevent
horizontal scrolling (and possible janitor
Want more info? How to link
or How to display code and escape characters
are good places to start.