SQL input form

I need to create a simple form that a user can use to input data into a table in SQL 2008 R2.  The columns are as follows:

DATE      
APPLICANT      
LOCATION      
REMARKS      
QUANTITY      
COUNT      
CONTAINER      
GRADE      
CERTIFICATE NUMBER      
CAR NUMBER      
QUANTITY THOUSAND WEIGHT      
TIME INSPECTION BEGUN      
TIME INSPECTION COMPLETED

What would be the best way to do this??

Thanks!!