Simple Contract template

I need a contract turned into a pdf template with fields that can be completed by recipients e.g. name address signature etc. I have highlighted the fields that need to be completed and the area that needs signatures. The remaining text needs to be checked that the formatting hasn't scrambled and locked so it cannot be amended. It hasn't scrambled at the moment but I know that happens sometimes when it is opened and the PC automatically reformats it. Small job about an hour but you need adobe acrobat pro.