<div <?php /*?>class="dsidx-search-widget dsidx-widget"<?php */?> id="search" style="width:563px; height:50px; color:#FFF;background: url(<?php bloginfo('template_directory'); ?>/images/bg_black.png); padding: 20px; float:right;"> 
		
        	<form action="http://www.reifhomes.com/demo/idx/" method="get"> 
				
							<?php /*?><select name="idx-q-PropertyTypes" class="dsidx-search-widget-propertyTypes"> 
								<option value="">- All property types -</option>
                                <option value="1030">Residential / All</option>
                                <option value="1031">Residential / Condo</option>
                                <option value="1032">Residential / Single Family</option>							
                                </select> <?php */?>
                                
                                <div class="dsidx-search-button" style="float:right"> 
					<button type="submit" style="border: 0; background: transparent; cursor:pointer;"   />
                    <img src="<?php bloginfo('template_directory'); ?>/images/search.png" width="90" heght="50" alt="submit" />		
                    	</button>
                    </div> 
                    
					
						<label for="idx-q-Cities">City</label>
					
							<select id="idx-q-Cities" name="idx-q-Cities">
                            <option value="">- Any -</option>
                            <option value=""></option>							
                            </select> 
					
					<label for="idx-q-ZipCodes">Zip</label>
                    <input id="idx-q-ZipCodes" name="idx-q-ZipCodes" type="text" />
					
							<?php /*?><select id="idx-q-ZipCodes" name="idx-q-ZipCodes">
                            <option value="">- Any -</option>
                            <option value="94928">94928</option>							
                            </select><?php */?> <br />
					
						<label for="idx-q-PriceMin">Price Range:</label> 
							
                            <select id="idx-q-PriceMin" name="idx-q-PriceMin" class="dsidx-price" />
                   			<option value="300,000">$300,000</option>
                            <option value="400,000">$400,000</option>
                            <option value="500,000">$500,000</option>
                            <option value="600,000">$600,000</option>
                            <option value="700,000">$700,000</option>
                            <option value="800,000">$800,000</option>
                            <option value="900,000">$900,000</option>
                            <option value="1,000,000">$1,000,000</option>
                            </select>
					
						<label for="idx-q-PriceMax">to</label>
						
                        	<select id="idx-q-PriceMax" name="idx-q-PriceMax"  class="dsidx-price" />
                            <option value="500,000">$500,000</option>
                            <option value="600,000">$600,000</option>
                            <option value="700,000">$700,000</option>
                            <option value="800,000">$800,000</option>
                            <option value="900,000">$900,000</option>
                            <option value="1,000,000">$1,000,000</option>
                            <option value="1,500,000">$1.5m</option>
                            <option value="2,000,000">$2m</option>
                            <option value="3,000,000">$3m</option>
                            <option value="4,000,000">$4m</option>
                            <option value="5,000,000">$5m</option>
                            <option value="10,000,000">$10m</option>
                      		</select>

                        <label for="idx-q-BedsMin">Bedrooms:</label> 
						
                        	<select id="idx-q-BedsMin" name="idx-q-BedsMin"  class="dsidx-beds" />
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            </select>
					
						<label for="idx-q-BathsMin">Bath:</label>
						
                        	<select id="idx-q-BathsMin" name="idx-q-BathsMin" class="dsidx-baths" />
                            <option value="2">2</option>
                            <option value="3">3</option>
                            <option value="4">4</option>
                            <option value="5">5</option>
                            <option value="6">6</option>
                            </select>
				
				
			</form> 
			</div>

This is some functional code.  I just wanted to make a backup.

Custom dsIDXpress form

HTML