WEB front end for SQL Table

I have a quick small project here. I need a tool to write 4 fields in to a ms sql table and view another table. The program must be password protected to use it. This tool ideally should be a web client but does not have to be. The tool will be used to generate an sms. The sms is sent via another program. You just need to create a front end to write the name, telephone number, sms text and 1 other bit of info to a table. Note: the tool will be used on a separate machine to the sql db. The full details will be shown to the successful bid. Thank you