Directory Update Listing From

I have a directory webiste. I am looking to have a clone of the the form on [login to view URL] (See Here:[login to view URL]) where users can submit updated company information. I need the exact clone of this page even with the drop downs for category. The directory has an advanced admin back end that can specify what fields are allowed for what type of memberships. So We will need an admin page also that lets users specify what fields can be shown on the Listingupdate page. Also admin should be able to lock some fields similar to the link above aginst editing. Updated company information will go into a tempcompany table. In the admin section: 1- admin will be able to see the old and new information side by side. 2-After comparing: admin can approve deny updates. If approved will overwrite company table. If deny will delete the content from the tempcompany. Important: 1-Need a clean commented code. 2-You will be working on a test site and should be easy to install on live site. 3-Category selection should work like on yelp. 4-Updates can only be submited for companies submited under the free category. I can provide more details and show an old version of this work for the right bidder. Please show forms or pages you created for prior projects in your bid so I can tell that you can do it and you read the project description. My Budget for this is 100USD only bid if you can do it for this amount OR LESS. I will provide the script you will need to install on LOCALHOST if you complete I can test by logging remotely to your pc. Any Ideas are welcome. I will need this to with clean and easy installation steps. Please send Questions if any Thank you