Convert Word form for Web Site

I have a form that is 14 pages that I want my customers to be able to fill in on our web site. and when completed it is emailed to me. Via our web site. The form is currently in Word. I need someone to convert this document to a form that can not be altered by my customers. The customer must also be able to print their own copy of the form for their records before submitting it via the web site. I want to be able to test the form to ensure that it works . I will require you to instruct me on how I put it on our web site. I use MSFront Page to upload to the web site(fpt) Please feel free to contact me with any questions or suggestions. Thank you ## Deliverables 1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment. b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request. 3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement). ## Platform It will run on my web site. I use MS Front Page to write and update the web site.