Simple VB/ASP.Net Web App

I need a web app developed in VB that will run on our intranet. The app will have some mandatory fields and some optional fields. I want the app to use windows authentication so that the user does not need to login each time they bring the app up in their browser. The users information will be entered into the ReferredBy field in the database. These are the mandatory fields: First Name Last Name These are the optional fields: Address City State ZIp BusinessPhone HomePhone EmailAddress The database fields are below, it will use the mysql odbc connector: DateOpened Type AccountNumber AccountName AccountFirstName AccountLastName TIN Address City State Zip BusinessPhone HomePhone EmailAddress AccountBalance ClassCode OpenedBy Responsibility