[Paid] Create a custom form with upload a file option

I need a custom form built for web design clients to send me updates, with around 15-25 total fields, most likely in php (my server runs Linux).

One field needs to be a selector box where they choose the number of updates they want to send me (up to 5), and 1-5 duplicate identical form sets would appear based on their choice.

One field in each form set needs to be the option to browse your computer and upload a file. The form should email the file (and the other field entries of course) as an attachment, if possible, to my address. If that isn't possible, I suppose the other option would be to store the form info & files in a folder on my server sorted by domain name (which each customer would input at the beginning of the form).

Reply here, email me at lundy [at] webdesigngt [dot] com, or AIM: WebDesignGT with prices. Ideally this can be done today.

Thanks!

I sent you an email.

I just wanted to reply here and point out that MrOrange completed this and did an outstanding job. You can see the finished product if you are interested, here:

http://www.webdesigngt.com/contact.htm

Thanks again MrOrange!

I dont know why but your site is very slow... is there any reason for that?

It was probably just a bad time... should be fine now.