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Form submit to Mailchimp / Campaignmonitor incl. a few variables (radius search) and Wordpress

This project received 3 bids from talented freelancers with an average bid price of $228 USD.

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Employer working
Skills Required
Project Budget
$50 - $150 USD
Total Bids
3
Project Description

Project requires also a bit of HTML, AJAX and JS knowledge for implementation. Please send PM -- will reply with a screenshot for clarification.

STEP 1
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Form e-mail address (1 entry) -> if entered correctly (JS check) go to step 2
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STEP 2
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Add preferences for e-mail address
* Pref 1 (e.g. A,B,C,D,E)
* Pref 2 (Place of departure -- select multiple locations and seek the airport close to city entered (Google Maps API for radius search? -- Europe only -- if clicked on 'show more airports' show 3 more locations, user can select multiple ones, e.g. up to 15. Needs to be combined with JS or AJAX ) -- Longtitude / latitude list of locations (around 250-300) will/can be provided.
* Pref 3 (e.g. A,B,C,D,E)

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STEP 3
- Submit to MailChimp or Campaignmonitor or similar high-end system

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When new wordpress post is posted with tags Pref1-A,Pref3-B and Pref-2-(e.g. AMSTERDAM) a then send e-mail in pre-defined mark-up to all users in database that have these variables.
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Add e-mail also to MySQL database as back-up
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