Service availability check - joomla

IN PROGRESS
Bids
10
Avg Bid (USD)
$321
Project Budget (USD)
$30 - $250

Project Description:
I have a website that provides services.

I would like to have an availability check on my Joomla 2.5 and/or 3.0 website, if the service is available in your zip code. I would like this future proof – meaning I would like to be able edit the text, front, edit text color, add more zip codes, delete zip codes, etc.

I would prefer it to be MODEULE so I have the flexibility to add it to multiple positions and pages.

FRONT END

1) The Customer can enter their zip Code in a field.
A) If the service is available it says "Success! What would you like us for?” with options to select like “HELP” “CALL” “BUY” etc which is linkable to an external or internal webpage.
B) If the Service is not available, it says "Sorry, but we are not available in your area yet. Blah blah blah blah" with options to select “X” “X” or “X” which is linkable to an external or internal webpage.

I have attached in image as a reference.

Backend:
1) We need to be able to add additional zip codes in the future
2) A record of every time a zip code is entered separated by a list of service is available and service is not available which can be viewed and exported to excel or some other universal format so we can view it later.
3) Need to be able to add additional services available after they enter in a successful zip code (again, part of future proof – read above for meaning)

Additional Project Description:
09/16/2013 at 20:30 CDT
Please read the project first. Then write your steps and suggestions to complete the project with a short description of what you understood.

If you have any questions, please contact me as I don't want there to be any misunderstanding with the project.

Skills required:
Graphic Design, HTML, PHP, Website Design
Additional Files: 1-1.JPG 2-2.JPG 3-3.JPG
About the employer:
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