Visit [url removed, login to view] Once you visit above link, click on "Product Category" dropdown from here i want the same stuff as it is there is no change it may be select menu (or) a textbox but once user selects the data should be filled in that. Once user submits email will go to admin.
Attached is plain/sample html. Please note the categories will be added dynamic from database.
Preferred bids who can deliver in 2hours. Fixed budget is 30$.