Need PHP Page to add records to SQL Database

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
I have an existing website and an existing SQL database. I need a php page that will allow me to upload a photo to my database and populate several other fields. they include:

PHOTO (be able to browse for the picture on my computer OR get from a link)
NAME (make this a text box)
URL (text box)
CATEGORY- (blue, red, orange, green) and can be more than one, make these check boxes
STATE make this a text box
TAGS make this a text box

Skills required:
About the employer:
Public Clarification Board
Bids are hidden by the project creator. Log in as the employer to view bids or to bid on this project.
You will not be able to bid on this project if you are not qualified in one of the job categories. To see your qualifications click here.