Room Reservation Form

Is it possible to add an automated function so that when the customer selects their Check In and Check Out date, the form displays the rate for that room?

Fields:
Name
Email
Phone
Additional Comments
Room Type (Board Basis & Number of Guests in the room)
Check In Date
Check Out Date

The price displayed will be based on the Room Type + Board Basis + Guests occupancy

Also for the info they entered and the price provided to be sent to us when they click submit?

Many thanks
Warren