diff --git a/Wello/www/form.php b/Wello/www/form.php
index 6a8c4e6..a647a84 100644
--- a/Wello/www/form.php
+++ b/Wello/www/form.php
@@ -1,4 +1,6 @@
-<?php require 'cred.php';
+<?php 
+require 'cred.php';
+$mysqli = new mysqli("localhost", $username, $password, $database);
 if ( (isset($_GET['Well_ID']))  && (is_numeric($_GET['Well_ID'])) ) {
 	$Well_ID = $_GET['Well_ID'];
 }
@@ -8,6 +10,16 @@
 else {
     $Well_ID = "0";
 }
+
+$query = "SELECT Date_Well_Completed, Date_of_Report, Registration_Number, State_Well_No, Other_No, 
+            CONCAT(Owner_First_Name, ' ', Owner_Last_Name) AS 'Owner_Name',
+            CONCAT(Well_Street_Number, ' ', Well_Street_Name) AS 'WellAddress', Well_Town, Well_Latitude, Well_Longitude, 
+            Drilling_Equipment, Depth_To_Top_Of_Gravel_Pack, Depth_To_Bottom_Of_Gravel_Pack
+            FROM well_completion_report
+            WHERE Permit_Number = $Well_ID";
+if ($result = $mysqli->query($query)) {
+    $row = $result->fetch_assoc();
+}
 ?>
 <!doctype html>
 <html class="no-js" lang="">
