Program a popup window -- 2

I am looking for a guy who can program the following popup window: By clicking on a button in the data row of a member area, a popup window opens and looks like the following: E-Mail: [default value] from DB column „mail“, editable by user] Ansprechpartner: [defulat] value from DB column „zusatz“, editable by user] Message: [The message shall contain the following default text, which is *editable* with an WYSIWYG editor in the popup window] Default text: Würzburg, [current date] XYZ [Value of DB column „firma“] [Value of DB column „zusatz“] [Value of DB column „street“] [Value of DB column „zip“] [Value of DB column „anrede“] hiermit zeigen wir an, dass wir der Urheber des nachfolgenden Lichtbildes sind: [Thumbnail of the image whose link is in the column „link“] Sie nutzen dieses Lichtbild unter folgender Domain: [Value of DB column „comment“] Leider können wir in unseren Unterlagen eine Lizenz für Sie nicht feststellen. Bitte weisen Sie diese bis zum [bold] [current date + 2 weeks] [bold] nach. [Button: Send] By clicking on the button „Send“, the following happens: 1. The column „mail“ is updated with the value that is in the field „E-Mail“. 2. The column „zusatz“ is updated with the value that is in the field „Ansprechpartner“ 3. The text that is in the field message is sent by mail to the mail adress in the DB column „mail“, and in BCC the adress X. 4. The file that can be reached at the URL in the column „file_path“ is attached to the mail. 5. The status of the column „abmahnung“ is set to 1. 6. The current date is put into the column „date_abmahnung“.