Form Option Changes

Hey I need changes made to the form attached. Its non functional but gives a good idea of what I want. Please look at the [url removed, login to view] to see what the form needs to look like. I will need the form done to where the user can choose which they want to browse the url from. So its pretty much a proxy form, similar to [url removed, login to view], but gives the option of which server to use. I hope to not exceed 40 on project price but if you can incorporate a random option and encrypt the source code I would be willing to pay up to 60. Thanks and the sites are attached in the [url removed, login to view] and what i need to form to look like is in the form.html. Please pmb if you need clarification and Happy Bidding :)

Habilidades: Javascript, Linux, Perl, PHP, Design de Sites

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Acerca do Empregador:
( 9 comentários ) Houston, United States

ID do Projeto: #125640

Premiar a:


Please check PM for details :)

$30 USD em 1 dia
(13 Avaliações)

5 freelancers are bidding on average $44 for this job


i can do this, but what do you mean by source code encrypt?

$60 USD in 0 dias
(245 Comentários)

ready to start. its easy, trust me.

$50 USD in 2 dias
(30 Comentários)

Check PMB Please

$40 USD em 1 dia
(3 Comentários)

I will do it..

$40 USD in 2 dias
(0 Comentários)