Create a Wordpress Template

I am using Wordpress for my website with Vantage theme. I want to add on a quote page to my website On this page customers fill in all their details as well as choose a number of categories (linked to the ones companies choose to list their company under) for a quote EG: Company A is listed under: Catering If a customer wants a quote and selects one category being catering + cakes + entertainment (they also have to select the area) then all the companies who match those categories will get an email saying “New customer looking for a quote for catering + cakes + entertainment" which matches "Catering" which you are listed under - please contact the customer directly for a quote Basically its a Multiple Quotes page by filling in one form - it will email multiple companies.