Image uploader... PROBLEMS!

ok, well im setting up a site for a few friends of mine, It allows them to upload videos they have made…

but i need a form… that will allow a user to upload 2 things and fill in some information…

for example

Upload Image: (-form-)

Upload Video: (-form-)
Video name: (-form-)
Video desc: (-form-)
**(-submit button-)

or something similar

could anyone point me in the direction… or possible give me the code?