PHP form with image upload creates pdf using iPhone

I would like to create a PHP form which can be accessed by a URL - filled out on a iPhone with a couple fields which I could add to later, and 4 picture holder containers which when clicked can access your iPhones photo album so a picture can be selected - when the web user submits the entire form, and pictures, a PDF is created by PHP and emailed to a certain email address set in the PHP variables - NOTE this will not be an iPhone application but a pre-configured web page viewable from the iPhone screen