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

This project received 2 bids from talented freelancers with an average bid price of $250 USD.

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Employer working
Project Budget
$30 - $250 USD
Total Bids
2
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 [url removed, login to view]

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

Looking to make some money?

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