I need a website landing page with approximately 6 data fields including 3 drop downs or raidal buttons. For an example of the fields you may look at www.maximumwages.net.
I will need the data in the fields to post to my list server for all entries and to pre-populate the same fields in different URL's depending on which criteria is selected from the radials and drop downs.
The design should be professional and corporate looking. You may look at [url removed, login to view] and [url removed, login to view] as examples. (these sites have extra fields that I won't need)
I would like to have a small bit of animation or flash in the header graphic and the site should represent money, cash, checks type of look and feel.
Please respond with your bid and approximate time needed to complete the project.