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trying to create a simple module for customer form - by: rao0070

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hi, im trying to create a simple form for customer to checkin while he visits the store.
trying to see if i can build a module which displays basic form data for customer to fill in
like
1)customer name
2)address
3)email
4)phone
5)referall details etc?

can someone help me understand where to start to create a module (form) to collect the details and how to make the data available for later ERP actions like creating a ticket / orders for the same customer.?
any quick help would be much appreciated or advice details on where / how to start this .

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