Without a standardized image size it would very challenging to make the result look professional. Doug is correct that line-item manipulations with PB are arduous and require the spec and form to be precisely matched, but they are do-able.

It would be simpler for PB to attach the image (or a PDF information sheet) along with an email, but that restricts the form to only operating as an emailer as PB cannot 'attach' a variable number of completely new pages to a print job.