a form similar to the one at the top of this page ciaobambino.com

Avg Bid (USD)
Project Budget (USD)
$30 - $250

Project Description:
Would like to be able to add more Countries myself and to be able to point choices to any webpage address.
webpage address should be full address
Like http://Google.com

Can you write the code using Mootools?
If not, try to avoid Jquery

Additional Project Description:
02/26/2013 at 2:36 EST
A form similar to the top of this page

Skills required:
Software Architecture, Software Testing
About the employer:
Public Clarification Board
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