configure sick submitter - open to bidding

we need everyday 500 profiles uploaded via csv file, posted to a single page form. this form has dropdown menu and submit button. we want this all automatic fields First name: Last name: Home Phone: Work Phone: E-mail: Address: City: State: Zip: Residence: Vehicle Information Year: Make: Model: Salvaged: Alarm: Ownership: Primary use: Annual Mileage: Coverage Level: Garage: Comph. Deductible: Collision Deductible: One way distance: Add new vehicle Current Insurance Information Company: Policy Expiration: Insured Since: Driver Information Birth date: Gender: Education: Occupation: Good student: Credit rating: Marital status: License state: Age licensed: License status: Violation/Incident Information Violation/Incident 1 Type: Ticket date: Ticket description: Violation/Incident 2 Type: Ticket date: Ticket description: