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Form JavaScript (2)

I need a form javascript which does the following:

Form fields: zipcode (textbox), insured yes or no (option button)

Validation:

- "zipcode" field should validate that entry is 5 numeric digits - if not, alert "Please enter a valid 5 digit zip code."

Functionality:

When the "submit" button is hit, the form should redirect to "http://url-2.com&zip=xxxxx&insured=X" in a new "full" window. This should be compatible with all browsers. Notice that the zipcode and insured are added as url parameters.

In addition, the form should also pass source=xxxxx&afftrack=xx&affsub=xx&campid=xx which should be obtained from the landing page url.

For example, if the form is on [url removed, login to view] and the visitor lands with:

[url removed, login to view];campid=ppc&afftrack=3020&affsub=05

And if, the visitor enters zipcode "91710", selects insured "Yes" and hits go, the visitor should be redirected in a "new full window" to:

[url removed, login to view];insured=Y&source=google&campid=ppc&afftrack=3020&affsub=05

Please keep code as clean as possible

Thanks

Habilidades: Javascript

Ver mais: go javascript, numeric, landing page javascript, javascript validation, form entry, form fields, javascript url example, javascript full url, submit zip code, google javascript code, full form, amp javascript, javascript entry, field addition, javascript code validation, javascript validation example, javascript url window, redirect url code, javascript amp, submit form landing page, hit google, google zipcode, source code url javascript, google hits, form submit page

Acerca do Empregador:
( 26 comentários ) pomona, United States

ID do Projeto: #593591

Premiar a:

lsweb

Hello. Please check your PM. Thanks.

$30 USD em 0 dias
(79 Avaliações)
6.8

15 freelancers estão ofertando em média $42 para este trabalho

ntiersolutions

We can do that, we are professional web developers. Would you need some information from us? Waiting for your reply. Thanks

$50 USD in 2 dias
(21 Comentários)
4.8
grtsolutions

Hi, how are you? Please, see PM.

$50 USD in 0 dias
(12 Comentários)
4.2
agriz

Hi I am ready to start the work

$60 USD em 1 dia
(25 Comentários)
4.2
raver

can be done right now.

$50 USD in 0 dias
(3 Comentários)
3.4
msbatechie

I can do it

$60 USD em 1 dia
(3 Comentários)
3.2
doonsoftwares

---serious Bidder--- Ready to finish

$60 USD in 0 dias
(3 Comentários)
3.1
atigas

Hi, I have something to show you. Please check PM. Thank you.

$30 USD em 1 dia
(4 Comentários)
2.9
nmppatel

I am an IT professional with 10 yrs experience. I have very good experience with Java Script form validation. I will provide quick & professional service.

$30 USD em 1 dia
(3 Comentários)
2.6
tomson1234

Dear sir, Ready to work on your project right away. Have more than 8 years of experience in IT. --Tomson

$30 USD em 1 dia
(1 Comentário)
1.0
hsshah

Please see PM.

$30 USD in 0 dias
(0 Comentários)
0.0
venky426

Hi, I am having 5 yrs of experience in web development, of which i have 2.5 yrs of experience in javascript. I can develop this and deliver in time. Looking forward to hear from you. Thanks, Venky

$50 USD em 1 dia
(0 Comentários)
0.0
faishaaz

Hello sir, I can do it easily for you. I will provide you the working demo for this. Please check PMB later. Thank You. Best Regards. Faishaaz.

$40 USD em 1 dia
(0 Comentários)
0.0
kuntal4

Don't worry, your work will be done.I am ready to start.

$30 USD in 2 dias
(0 Comentários)
0.0
sjj

Hi, I am ready to start the work. Thanks

$30 USD in 0 dias
(0 Comentários)
0.0
gabrielgilini

Hello, cheechdiaz, this could be done in no time. I'm experienced in JavaScript, and to prove you that I could do the job quickly I'm sending you via private message screenshots from a simple approach to your solution Mais

$30 USD in 0 dias
(0 Comentários)
0.0