490130 I need a great Subscription Form

I need some one to build me a great subscription form like http://www.greatamericanphotocontest.com. If any one clicks the "Enter Contest" tab, you will be able to upload a picture. I want my subscription from exactly like this. The most I will pay is $50. It should take no one more than a couple of hours to make this if they know what they are doing. It must function just like the website I am directing you too.

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