Online Form and Database

Hi, I am looking for one form that should be very neat and elegant on PDF Fillable. I want these forms to be sent to different users so that they can fill this and save it and send it to me. The form has kinds of fields from dollar values, email and text etc. Users should be able to fill in this form (they may have only adobe reader). and save the form on their desktop before sending it back to me. From this form, I should be able to export the information to the excel file with the predefined headings. It is not must to use PDF, can use any web interface technology also, as long as the information is safe and secure. There is no financial information in terms of credit card or bank details in this form however there will be sensitive personal information that may be non financial. I am happy to pay the right price as long as it works and really user friendly. Anyone who has suggestions can bid. Please ensure that you send me your sample work or include the references of your sample work. I will attach the form after the engaging the conversation with the respective bidder. Any bids without sample work will not be considered. Thanks