HTML form to publish content

This HTML work is really easy. Please review attached file with accurately description and wireframes which help you to do it faster. Maximum budget: $100 USD Delivery: we need to create an HTML form for publishing. This link is located in the homepage and when you click it goes to this form that will keep the homepage as a background image. Take into account: 1- HTML Template must follow this look&feel (style3). Same colors, same font. [login to view URL] 2- HTML5, CSS3 3- Javascript, use Jquery, if you would like to use another plugin ask me 4- Compatible with 1024x728. The width of the form should be about 600px. 5- Link to Form: From the homepage you click in the publish link and takes you to the form that keeps the homepage as background like [login to view URL] does. Pinterest create such as a lightbox but it really goes to a new URL. Publish Form fields: 1- Drop-down menu with these options: Actividades locales, Cine, Coches, Cocinar, Compras, Economía, Fotografía, Fútbol, Humor, Moda, Música, Nuevas tecnologías, Series, Viajar, Videojuegos 2- TextBox similar to Twitter with a counter of 140 maximum chars. Inside the textbox add “¿Qué ha pasado?” text. The Font-size of this textbox would be bigger than the rest of the fields 3- 6 buttons: there are 6 types of publications and each one has a description section below the buttons. Type of publications: Microblogging, Images, Video, Write, Music, Link 3.1- Microblogging description section: “Microblogging: escribe algo breve” 3.2- Image description section has 2 options for: >Uploading an image from your PC: “Sube una imagen de tu ordenador:” with a Browse button called “Examinar” >Copying a link: “Link:” text should be prior a textbox with this default text within “Copia el link de una imagen http://” 3.3- Video description section: “Vídeo:” text should be prior a textbox with this default text within “Copia el link de un vídeo http://” 3.4- Write description section: “Escribir más: abajo puedes seguir escribiendo” 3.5- Music description section: “Música:” text should be prior a textbox with this default text within “Copia el link de una canción http://” 3.6- Link description section: “Link:” text should be prior a textbox with this default text within “Copia el link http://” 4- Tags: This field will be enable if it IS NOT Microblogging. Within the textbox show: “Incluye palabras clave que definan la publicación” 5- Add more text: This field will be enable if it IS NOT Microblogging. Within the textbox show: “Escribir más…” 6- Label: we will use the textbox to add people to this post and an information icon which show the following message when you roll-over “Todos los contactos no registrados recibirán una invitación a la web” 7- Publish button: Called “Publicar” IMPORTANT: point 4 and 5, “Tags” and “Add more text” will be visible only if you select any button which IS NOT Microblogging