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Form validation

I need a form with validation:

Here are the specifics:

One field form named Zip Code, customer enters their zip code and the form verifies that the entered zip code is in the delivery zone (database of zip codes) (will be supplied).

If it is, the site is redirected to the store. If the zip code is not in the database, the form redirects to an url with a signup form to be notified when delivery will be available in that area.

Must be able to choose form colors with custom image submit button (will be supplied).

Site Specs:

Joomla 2.5.3

MySQL [url removed, login to view]

PHP [url removed, login to view]

Apacje [url removed, login to view]

Kemahiran: Javascript, MySQL, PHP

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Tentang Majikan:
( 3 ulasan ) Hugo, United States

ID Projek: #1538097

Dianugerahkan kepada:

rosew100

Please check PM

$50 USD dalam sehari
(103 Ulasan)
6.8

12 pekerja bebas membida secara purata $102 untuk pekerjaan ini

rabbul

Please check PMB

$150 USD dalam sehari
(332 Ulasan)
7.7
gobyweb2

Please check my PM.

$100 USD dalam 2 hari
(57 Ulasan)
6.5
webmagics

Please see PMB for details. Thanks

$140 USD dalam 3 hari
(43 Ulasan)
6.2
zk230182

Hi, I have studied your project specification and I can do these modifications.

$200 USD dalam 3 hari
(14 Ulasan)
5.4
sriraj1233

======== YOUR SEARCH ENDS HERE ==========

$50 USD dalam sehari
(68 Ulasan)
5.4
ahmed613

PHP expert... check pm pls.

$45 USD dalam sehari
(73 Ulasan)
5.0
starmation

A top-notch web developer . Lets validate your form :)

$100 USD dalam 3 hari
(5 Ulasan)
4.7
carlospizarro

Hello, i have a lot of experience with this kind of jobs. I will modify your form to meet your needs exactly as you want. I can start to work right now, please let me know if you have any question.

$30 USD dalam 0 hari
(7 Ulasan)
3.4
binyameen12

Interested... Will done with complete validation... Please check PM.

$100 USD dalam sehari
(0 Ulasan)
0.0
udinjust4u

i can do it for you

$50 USD dalam 20 hari
(0 Ulasan)
0.0
expertinphpmca

Please check your inbox.

$50 USD dalam 7 hari
(0 Ulasan)
0.0
Lilmls

Hi there, I have more than enough experience to deliever your requirements. However I will be honest with you, I can make the form stand-alone independent of Joomla cms which I donot have enough experience to integrate Lagi

$150 USD dalam 3 hari
(0 Ulasan)
0.0
engradgupta

Dear Sir/Madam, I am ready to do the job

$100 USD dalam 7 hari
(0 Ulasan)
0.0
A075WulOR

Pls check PMB.

$250 USD dalam sehari
(0 Ulasan)
0.0