271453 Form: Attach/ Upload/Email

Hi, I would like a simple script written (preferably php) that will allow clients to fill out a form, browse, upload and attach files as necessary, and then upload the form and attachments to a newly-created folder on a server. The form subject and folder name will then be emailed automatically. I will provide the form html, thus saving you time. No styling etc is needed. Quick turnaround required, payment immediately in full when project completed and installed and working on my server.