101258 Need a form fixed immediately!

I require bidders to include the phrase "I read this" on all bids. I have an online employment application that needs code to make some of the fields required and be able to have the data emailed to me. Also there is an attachment field that needs to email the attachment. No database is required. I just need an email with all the form data and the attachment. I need this done immediately after choosing the programmer. So only bid if you are prepared!!