Need simple order form created - file upload + check boxes + text input

I'm looking to have someone create an order form according to the specifications in this document.

http://www.mypetprints.com.au/form/ (click on word document)

I don't need anything fancy. Form should be attractive and flow easily. We will produce all images and necessary text.

Please post open bids or send me a pm. People who can finalise this week would be preferred.

Thanks

Dylan

 

will be done in a day i am expecting a mere amount of $ 30 for this

 

So a form, and script to attach the file to an email as an attachment via smtp-auth. Wow, $30 is a steal. I was thinking $100.

 

I can do some really quality stuff...have a team of good qualified programmers...will charge $200...please PM me the details

 

Still need bids. Previous applicant fell through.

Dylan

 

I will complete this task for $50 via paypal.

Please PM me the information (pics, etc.) that you specified in the word document.

Also, I saw something called "Your photo"

Does the person simply paste in the link to their photo (hosted on tinypic.com or something) or will that have to be uploaded, attached to an email, and sent to you as well? PM me this and what I already mentioned if you are interested in my service.

 

I hope you have found someone already .
If not , i'll be glad to code it for you .