Zoho programmer required to create very simple shop cart

I need a Zoho Programmer to create a very simple order form/shopping cart for a Google Site - no credit card or PayPal facility required - just option to check 'Cheque sent' or 'Internet transfer completed' at this stage. Have a look at http://www.basicallybush.co.nz/huntersupplies.html to see what I would like recreated.