Adding an upload form feature to my website

Currently I’m attempting to create a form where a user enters there details and have the ability to attach a file to the form. The entire form will then be emailed to an email address for a moderator to look at. Is this possible? What would the code look like?

How far have you got?

Yes, but not with pure html, it will require some scripting.
What language do you have access to or are most comfortable in using to script it?
I would use PHP for this, but you may have another preference.

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