In Progress

Create an html form with the following 2 fields:

1) Zip Code - type: text box

2) Product - type: radio buttons (vertically aligned)

o Short sales

o Deed in Lieu

o Loan Modifications

o Talk to counselor / other options

Javascript to redirect visitor to url based on form inputs:

1. If Zip = 90000-99999 & "Short sales" is selected, redirect to:

- [url removed, login to view]

2. If Zip = 90000-99999 & "Deed in Lieu" is selected, redirect to:

- [url removed, login to view]

3. If Zip = 90000-99999 & "Loan Modifications" is selected, redirect to:

- [url removed, login to view]

4. If Zip = 90000-99999 & "Talk to Counselor / other", is selected, redirect to:

- [url removed, login to view]

5. If Zip = else & "Short sales" is selected, redirect to:

- [url removed, login to view]

6. If Zip = else & "And Deed in Lieu" is selected, redirect to:

- [url removed, login to view]

7. If Zip = else & "Loan Modifications" is selected, redirect to:

- [url removed, login to view]

8. If Zip = else & "Talk to Counselor / other", is selected, redirect to:

- [url removed, login to view]

Skills: Javascript

See more: html 5 expert, html 5 buttons, text inputs, html modifications, counselor, create zip code, javascript html modification, html based text, code create, zip aligned, url html, create text, modification form, redirect url code, form radio, form redirect html, http redirect code, html form code, quot html, html redirect form, html quot, create short, vertically, html redirect, html url redirect

About the Employer:
( 0 reviews ) Upland, United States

Project ID: #563658

Awarded to:

kkooler

It's very easy. I can make it for free just for good review. Send me your page or link to it into pmb.

$30 USD in 1 day
(3 Reviews)
3.4

14 freelancers are bidding on average $32 for this job

brtodi

Hi, please check PM for further correspondence, Thanks.

$30 USD in 0 days
(7 Reviews)
3.7
karthitron

Please check PM

$35 USD in 0 days
(3 Reviews)
3.0
kumaravasthi

Hi, Greetings. I read your project description and visited your site at [url removed, login to view] I can finish this job within an hour, after you have given the required details. If you are not willing to pro More

$30 USD in 0 days
(1 Review)
1.8
hatorihanzo

Hi! I am ready do that :)

$30 USD in 0 days
(2 Reviews)
1.9
eapodolyan

Hello. Please check inbox. Thanks.

$30 USD in 0 days
(0 Reviews)
2.0
blasic

Hello sir, We can do your project quickly. Please check your PMB for more details

$30 USD in 0 days
(0 Reviews)
1.0
sejalspatel

Hi, I would like to do this job. You can see my work on egnyte.com. I can complete this within 2-3 hours. If you are interested, then please contact me to discuss further. Thanks & regards Sejal Patel

$30 USD in 0 days
(0 Reviews)
0.0
akshay1234

Hi, Please check PM.

$30 USD in 1 day
(0 Reviews)
0.0
rckmraj

I can do add new fields in the form with in two days. I have 2 yers exp in PHP

$40 USD in 2 days
(0 Reviews)
0.0
sachinnagpal

lets start...

$30 USD in 1 day
(0 Reviews)
0.0
gloriousvijay

I have around 5 years of experience in developing ASP.net Web applications, AJAX, Java script. Ready to start this work. can deliver the page with good commitment in 4 hours . Thanks

$30 USD in 0 days
(0 Reviews)
0.0
krishcoolguy

i can promise you that your work will be done on time.i have handled many web projects.i will complete this project in two days. if you need any modifications i will do on the third day.

$35 USD in 3 days
(0 Reviews)
0.0
buddalasunil999

I am new user to freelancer. Looking for a good startup. I am good at programming. I never giveup a working project. I like my work to be the best one.

$40 USD in 2 days
(0 Reviews)
0.0