Custom press release submit form in wordpress

We need a professionally designed press release builder for our wordpress website. We want the form to be polished, professional and very easy to use. Form collects the following: Headline, body, upload a photo, include video embed code, contact name, phone, email address Form requires payment (credit card, paypal, etc). Form automatically prepares formatted press release and preview before submitting. On submit, form submits press release as pending post in wordpress. Please include examples or links of other forms you've created. We are currently using this wordpress theme: [login to view URL]