Adbrite like campaign page

We need a complain page just like: [login to view URL] PAGE 1 ----------------------------------------- We don't need the "Full Page Ads" Choice We don't need the "Preferred sites" Choice We don't need the "Gender" Choice We don't need the "Age" Choice PAGE 2 ----------------------------------------- We don't really need this dialog because we will be setting these things ourselves. We need a dialog where the customer can choose a dollar amount. The choices should be: $50 $100 $150 $200 $300 $500 $1000 PAGE 3 ----------------------------------------- Depending weather the original choice was Banner Ads or Text Ads the user will get either a text ad dialog or a banner ad dialog. We need our pages to mimic that behavior. We also need for the customers to be able to save their ads into this dialog and have it e-mailed to us. After page three they should go to paypal checkout page. Note: The design of these pages should match with the overall theme of our website: [login to view URL] MAX BUDGET : $150 PLEASE ONLY BID IF YOU CAN DO THIS WITH IN $150 OR BELOW. Thank You!!!!!!