Wordpress page creation form needed

We have a Wordpress site that needs a form created that can be used to generate a page. The form would need these fields: Form to create ad for customer (like creating a Facebook page) need a template for 5 images uploads with slideshow creation Hours (text) Credit Cards Accepted (text) Address (text) City (text) State (text) Zip (text) Phone (text) Email (text) Web address (text) Google Map Specials/Offers (textarea) Site category (check list of post categories from wp-admin area. This post would appear in the chosen categories) Once this is submitted, a post in the wordpress site would be generated and it would appear in the selected categories. This form would need to be accessible by user roles. The users would be created inside wordpress and then assigned to a post(s). ## Deliverables 1) All deliverables will be considered "work made for hire" under U.S. Copyright law. Employer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the employer on the site per the worker's Worker Legal Agreement). 2) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done. 3) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables): a) For web sites or other server-side deliverables intended to only ever exist in one place in the Employer's environment--Deliverables must be installed by the Worker in ready-to-run condition in the Employer's environment. b) For all others including desktop software or software the employer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this project. ## Platform Linux Wordpress