have a small problem that i was hoping you can help out with

i have a excel file where i input some data. but i want the fields to
be automatically to populate a internet form which saves it
somewhere.

is there anyways to export this data set from excel to an internet
form much like this form.

Name:
Card #:
Phone #:
Problem: ****this is a drop down menu all I want this do is select the
3 option "help"****
Notes:
ID:
Phone EXT:
computer Name:

I know this looks like i'm spaming people but i'm really not.