Need One Page - CSS - Some Creative

Project Description

Basically, I need ONE web page, with a repeating box, with lots of functionality in that box, but it is not complicated. Just a little busy with hide this, show that.

I need the box to come in 5 different themes/colors, and work in a browser with some JQuery thrown in for effect if possible.

I want it to be intuitive, and also fast to use, so you need to know some UI and usability.

Requirements are attached.

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I wanted to clarify, there is NO back-end programming required for this job. It is strictly UI (HTML, CSS, JavaScript). I'm looking for style, color, and UI design.

Also, if you have samples of great STYLES, please let me know.

For example, here are some links to forms, and some clean, simple styles that I like:
http://sixrevisions.com/user-interface/25-stylish-examples-of-web-forms/
Numbers 3, 7, 10, 12, 24, 25

Another example
http://www.1stwebdesigner.com/inspiration/91-trendy-contact-and-web-forms-for-creative-inspiration/
Numbers 4, 7, 8, 12,


This is a great example that makes things very intuitive from a user standpoint: http://wufoo.com/form-builder/ ... (click "start building")

Skills Required

CSS, HTML, Javascript, Page Formatting & Layout, jQuery, Graphic Design