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Surehits web form integration

This is a very small project, I have a website created with wordpress, I need to integrate a (submit zip) form with surehits. Also the form should validate if the zip code is a valid us zip code or not. Sample of this job can be found on: [url removed, login to view], I already have the form as psd, you just need to create it as html and link it with the surehits code and also add the validation javascript code.

I will pay $30 for this small job.

Only developer with surehits experience are welcomed.

Skills: Javascript, PHP, WordPress

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About the Employer:
( 61 reviews ) Laval, Canada

Project ID: #4553067

12 freelancers are bidding on average $180 for this job

madhavdutta

Hi I have 8 years of experience in WordPress Design and development. Please check my latest work.

$206 USD in 5 days
(77 Reviews)
7.5
adityalivelife

hi, please find the attached private message of the work done ..Thanks!!!

$206 USD in 7 days
(137 Reviews)
6.4
on2it

Kia ora! [url removed, login to view] are a NZ based web and software design company who have seen you here on the freelance market and are really excited about working with you and treating you to the full service, professional ex More

$206 USD in 6 days
(4 Reviews)
4.7
raiseit

Dear Sir, We are interested to work for [url removed, login to view] check your private message.

$189 USD in 3 days
(11 Reviews)
4.7
Tulear

Software Engineer with 13 years of experience (2000 - 2013), I have enough skills to complete this project. Please check inside my profile page "How I Made my Former Employers Happy". Please note also the scores I More

$90 USD in 3 days
(16 Reviews)
4.3
mohanchauhan

I am a joomla expert. I am ready to start.

$147 USD in 3 days
(4 Reviews)
3.9
rvtechsolution

Our main target is to amaze you by our quality works and try to give you a standard website depends on your requirements. Your satisfaction on our work is our great pleasure. We will appreciate if you give us the chanc More

$154 USD in 4 days
(8 Reviews)
3.6
vishwanath89

Kinldy check PM

$30 USD in 1 day
(2 Reviews)
2.0
cryons

Hello, Please check your PMB. Thanks have a awesome day

$154 USD in 4 days
(3 Reviews)
1.5
veltrod

Hi, Veltrod Software services is a global software consulting company specialized in providing Mobile applications, Social media frameworks and eCommerce solutions. Leveraging best-in-class people, processes, and t More

$206 USD in 10 days
(3 Reviews)
0.7
futureworks20

Hello, Please check your PMB. I have applied for your job. Thanks

$412 USD in 10 days
(1 Review)
0.0
dsohail6

Hi Sir, My name is Danish and I am a Sr. Web Developer in Next Generation Technology. Here is my work experience Web Developer In VIRTUAL SERVICES: From 2010 (September) To 2011 (December) Work in following we More

$155 USD in 3 days
(0 Reviews)
0.0