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

Budget $30 - $250 USD
Bids 2
Average Bid $250

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

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