Request form connect to SQL Table

Hi,

I am new in SharePoint . I would like to create a form where user can submit there requests which will save it SQL table.

Basically I would like   to create a form where agent can submit the requests like

CompanyID , TaxYear,  FormID, Email Address

and then submit ( They can submit more than one request)

The information should save it to SQL  table .

I don't want new requester can see others requests.

Step by Step process will  help . We have SherePoint 2010

simam