Need Simple Form Function

Need a VERY simple form. Can be java script but cannot use the: "onBeforeUnload" as it will interfere with my script on the site. Please go to:

[url removed, login to view]

Please see the "Enter your Zip Code" area. It is in the middle of the page, with a "go" button next to it. (Please ignore double drop down at the top of the page)

This is what I need it to do. When someone puts in their 5 digit zip code (92027) in the text box, the form needs to redirect to this page, adding the 5 number parameter:

<[url removed, login to view]>

So, it would simply add the 5 digit number to the end of this url and post to that page:

[url removed, login to view]

## Deliverables

1) Complete and fully-functional working program(s) in executable form as well as complete source code of all work done.

2) Deliverables must be in ready-to-run condition, as follows (depending on the nature of the deliverables):

a) For web sites or other server-side deliverables intended to only ever exist in one place in the Buyer's environment--Deliverables must be installed by the Seller in ready-to-run condition in the Buyer's environment.

b) For all others including desktop software or software the buyer intends to distribute: A software installation package that will install the software in ready-to-run condition on the platform(s) specified in this bid request.

3) All deliverables will be considered "work made for hire" under U.S. Copyright law. Buyer will receive exclusive and complete copyrights to all work purchased. (No GPL, GNU, 3rd party components, etc. unless all copyright ramifications are explained AND AGREED TO by the buyer on the site per the coder's Seller Legal Agreement).

## Platform

N/A

Amazon Web Services Engineering MySQL PHP Software Architecture Software Testing Web Hosting Website Management Website Testing

Project ID: #3173103

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