Minor changes on a submit form

This project was successfully completed by arel for $35 USD in a day.

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Project Budget
$30 - $35 USD
Completed In
1 day
Total Bids
Project Description

Right now, the form looks like:

[url removed, login to view]

We would like:

1) The top part of the form to have "Personal Loans" and "Student Loan Debt" removed

2) The bottom of form, instead of the slider, have check boxes, starting at $5k-$9,999 and then $10k-$19,999 and so on up to $100k and then $100k+

like you see on [url removed, login to view]

3) When submitting from slider on home page to this form, the checkbox should be checked for most appropriate debt amount (e.g. if someone goes to page [url removed, login to view] , the $50k debt range would be automatically checked

4) Change title to "Finish Getting Your FREE Confidential Savings Estimate"

Please confirm you can start today and finish today.

Thank you!

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