Create small Business requirement

I have one HTML page and I would like to create Business requirement for that. This page ask user to enter following information: First Name Last Name Address Phone# Select Gender (two radio buttons) One check box is there asking user to check if he/she is working One dropdown list is there which has three values that user can select ## Deliverables I would like to create a business requirement with following information in word (97-2003) document. Purpose of the Document Document Change Activity in table format Business Contacts in able format Table of Contents OBJECTIVES CONSTRAINTS High level Business requirement: Following Characters are not allowed under First Name text field. If following character found than msg should popup stating "You have entered an invalid character for First Name." 1) ! 2) @ 3) # 4) $ Following Characters are not allowed under Last name text field. If following character found than msg should popup stating "You have entered an invalid character for Last Name." 1) ! 2) @ 3) # 4) $ If Phone number is blank then following msg should be displayed "Please Enter your Phone Number" Under Gender "Male" radio button should be selected when user visit URL Are you working? check box should not be selected when user visit URL Under State dropdown follwoing value should be populated when user visit URL New Jersey (NJ) New York (NY) Delaware (DE) Submit and Reset should be visible when user visit URL Submit and Reset should be enabled when user visit URL Reset button should Cleared all the values and make the default state. Default State: Following fields should be blank First Name: Last Name: Address: Phone#: Are you working? Male radiobutton should be selected New Jersey (NJ) should be selected