Need a UI developed that will allow a user to enter data.
I have attached a copy of the UI.

Requirements:
The form needs to be able to accept parameters being passed to it ( for example http://tldview.mysite.net/AddNewBrandTLD.php?brandId=2122 )

The UI has 4 sections each secton needs the ability to fold up (a javascript call to accordion.init) to make each section disappear from the users view

All the fields are will the link to a database table. Linking to the database table is not required in this project- however - it should be coded as if you are planning to connect.

Calendar on date fields
Load all drop down box with dummy data
The update button should be coded to call a external webservice


Please no sloppy coding. Lightweight coding techniques.
This UI needs to be done within 1 day of you accepting the project.
I do not want any .Net solutions. I run everything on Linux Apache/Tomcat.

PHP, HTML, JSP, AJAX etc.
i am willing to pay 50% in escrow - to start.
and 25% when you provide me with the a working copy.
Upon getting he final payment you will then provide me with the complete source code and libraries if any.

Review my profile. I always pay. I have 3 more UI's that will need to be done. if you do a good job with this one.