260123 Javascript Calculator

Need javascript calculator that will use the following information 1 Health application this week (or Sale) = on average premium of $275 x (at 25%commission) = $68.75 x 12 months advance = $825.00 1 Critical Illness Application this week(or Sale) = an average premium of $100 x (90% commission) = $90.00 x 9 months advance = $810.00 1 NACD Membership (Accident) Application (or sale) = an average of $49.50 less 7.50 admin fee x (35% commission) = $88.20 Total Advance to Agent for the week = $1,723.20 Annual Income (x 52 weeks) = $89,606.40 I need to be able for an agent to plug in 2 health applications for the week or the critical illness, etc and come up with an annual income =xxxxxx We need some kind of Blue Box with Total Health Sales for Week_________ Total Critical Illness Sales for Week__________ Total Memberships for Week___________ Annual Salary Projection for Agent is $____________________