I have just the thing in my big bag of scripts. I had a similar problem last year with a customer request so I sat and wrote a script that is easily configurable. All you need is a form with four basic fields and any further fields are automatically submitted. It wil handle file upload to specified directory. Mime type and file size max limits can be specified. The form also grabs user details ie. I.P, browser, O/S. It will also write a copy to CSV or mysql and it has an auto responder. I could let you have a copy for a nominal fee. All you have to do is change some 1's and 0's, enter admin e-mail addy, alter auto response if enabled, and enter filesizes/types.
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