Debit order form

Hi I need to create a elegent template for my debit order form. It must be in block letters and must be editable as a pdf so people can type their details as a pdf. Here are some sites which have elegent templates so please base them on those except **I want block letters.** [[login to view URL]<wbr />documents/Stratcol-Debitorder-<wbr />[login to view URL]][1] or [http://formsandbrochures.<wbr />[login to view URL]<wbr />lang=en&pid=83+3+ICM5+CMAIX7+<wbr />SnForm259+26+<wbr />A1001001A09B25B43631C0036518+<wbr />A09B25B43631C003651+14+1216][2] **Serious Bidders: please send a mockup, I only accept workers who make me a mockup.** I also am looking for a graphic designer to do many other jobs