GUI work , just need input, advice

Question

Its 10:30 right and its not that I am lazy, its just my head tired and i cant think of better way to do it right now. I just want you to look at it and tell me if you think, if should make replace something or change or edit or etc.......
So this is the picture of I have done.
http://imageshack.us/f/171/51603687.png/

This website is honestly retarded, the upload picture button uploads empty pictures.... So i just uploaded it to image shack (At least icons are working), Vulpes the log in to image shack is the same as the one to the 4share.


Create a Form for Nina's Cookie Source. Allow the user to select
from at least three types of cookies, each with a diff erent price
per dozen. Allow the user to select 1/2, 1, 2, or 3 dozen cookies.
Adjust the fi nal displayed price as the user chooses cookie
types and quantities. Also allow the user to select an order date
from a MonthCalendar. Assuming that shipping takes three
days, display the estimated arrival date for the order. Include as
many labels as necessary so the user understands how to use
the Form.