Wordpress Plugin: Upload to FTP form

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

Project Description:
For a Wordpress website I need the following plugin:

I need a form where non-registered users can upload photos to my ftp-server (at the moment there are forms which can upload files, but as photos can be big, I need them to upload to my ftp-server). A maximum of 30 photos at once. They need to fill in some information about the size of the picture they want (i.e. 13x18) with the use of a dropdown list. And of course some fields for their Name, Street, Zip-code, City, email address, and phone number, and additional comments. All but additional comments are required. (so feedback must be given when fields are empty)

Also feedback must be given during the upload process (with a process bar).

When the files are uploaded to the ftp server the non-registered user should receive a conformation e-mail. An email with the information should be send to my email address, also with the comments. I can download the pictures myself from the server. (the files should be uploaded in a separate folder for each order)

In Wordpress no menu is needed. I only need an include short code to put that on a spot where I want to have the form loaded. So no additional interface is needed for me (as admin).

With regards,

I included a rough sketch

Skills required:
Electronic Forms, MySQL, PHP, Wordpress
Additional Files: screenshot.png
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