inject new order from outside php source

[kender]

well, i cant find a way to create the ability i need within the system

basically its this


select dropdown 1 (numeric value, 1-50)
select dropdown 2 (numeric value, 1-50)
select from 2 checkboxes (optional, 8 total)
insert data into 4 input boxes

thats the basics of what it is, actually theres a few more boxes but from the top of my head cant list them all, it fits though in a simple line, and can be limited to 50-80 chars most likely on printout, the unique id will be mostly what defines it

this data will determine pricing and all need to be entered