Cdyne SMS Notify in .NET page with post back to MS Access DB

I need [login to view URL] 4.0 pages. The first page will be a web form that takes a name, phone number and text field. On send, using the SMS Notify by [login to view URL] the text is sent over SMS and confirmation response shown on the sending page. Then the person types CANCEL or CONFIRM and using the cdyne postback function, the second page posts the persons phone number, date/time and response to an access DB that you create. No graphics are required only the basic webform needs to be created. This is a quick turn around project and needs to be done ASAP. Payment will be given upon completion of the project and confirmed to be working.