$20 for Simple Html Proxy Design

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Hi all,
Im looking for a simple proxy design as I have a few more proxy domains left and would like to develope them.

The site is really simple. It should have the following:
-Spot for a logo
-Spot for ads undeneath logo
-Wrtiing for describing proxy
-Php proxy script
-area for topsites

Thanks and hope to hear from you all.