required fields:

Project name
Website url
Website Name
Left part color
Right part color
Sitename left part
Sitename middle part
Sitename right part

optional fields:

Google ad client Pub-Code
Google ad Channel
(just enter your Google Pub-number and channel. The script will do the rest)

Left column adv code
Left body adv. code
Right body adv. code
(will only be used if Google ad client Pub-code is left empty in the form)

Proxyfied page add
Proxyfied form add

Counter code
(the code for a siteconter or site statistic tracker)

optional fields for a filename:

Proxy topsites file
(this files which will be included can contains all your reciprocical links to the topsites you advertised your proxysite)

Proxy network file
Also visit top file
Also visit bottom file
(files which will be included and can be coded in HTML or PHP ... contains mostly the code to show some links)

Al those files can be edited afterwards and uploaded as long as they are in the same directory as the proxy site