Help me with php email form please!!!!!!!!!!

[LogoVertising]

Would anyone please write me or give me a php(or html) email form please, so that visitors can upload images with links and descriptions & send to my email address.

the contents will be sth like:

1.Enter URL of your website:
2.Enter the description of your website:
3.Enter Your Email:
4.upload your image (with browse and upload button)
5.Send button


please let me know
thank you very much.

[Procode]

You want this done for free?

[LogoVertising]

i sure hope so.

but should anyone make me a slick page design, i sure would give him/her a mention in my new coming blog(positive, in his/her own words should he/she desire) & i can also put the logo with link and description up at my homepage.

thanks

[ZareMedia]

Haha.

[Procode]

I doubt anyone would do that for free. Good luck tho.

[LogoVertising]

how much would you reckon?

[Procode]

how much would you reckon?

It depends on what exactly you want.

[LogoVertising]

i just made one myself, even though it's a bit amateur, it will make do

[simplecode]

wht exactly u want