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[move]I have a problem.[/move] 

 

I need to write a small PHP application that will allow a user to fill out an Car Club Application online.  I have pretty much made the layout of the contact form which is found here

 

I am collecting the following information:

    General Information

          Name <text>

          Email  <text>

          Phone <text>

          Address <text>

          City <text>

          State <select option>

          ZIP <text>

 

          Preferred Contact Method

 

    Vehicle Information

          Make <text>

          Model <text>

          Year <select option>

          Modifications <text box>

          Pictures (max upload of ten) <text>

 

      Membership Agreement

          I want to make a scrollable textbox with the Membership agreement in it but to where it cannot be change.

          I want an Agree & Disagree radio button.

 

I was thinking that when the Applicant pressed the submit button, it would create a folder with their name as its title and upload all the pics selected into the folder.  Can this be done?

 

Secondly, I want this to be emailed to the club president but also saved in my MySQL database.  Can this be done?

 

Could someone please help me?

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