Service Quote Form Based on Zip code

I need a simple tool created that can be embedded into other websites easily.

Similar to "[url removed, login to view]"

The tool will be a simple fee quote form, that will spit out a quote based on a 3 tiers of variables.

1. Distance [ we only service, New York & New Jersey but we need to know if new york city, long island or upstate ny to provide the accurate quote]

2. Quantity [ based on spouse added , and children]

3. Additional Services [ if they add more options like dental , rx etc]

*** Would like to use something like zipstatic to get city***

// Call Ziptastic for information


url: "[url removed, login to view]",

cache: false,

dataType: "json",

type: "GET",

data: "zip=" + [url removed, login to view](),

success: function(result, success) {

or maybe send to specific web pages i have based on if nj+1, nj+2, nj+3 : nyc+1,nyc+2,nyc+3 , ny state +1, etc


Choose State

New York

New Jersey


Get a Quote!

function validate() {

var sel = [url removed, login to view]("stateType");

var link = [url removed, login to view]("mylink");

switch ([url removed, login to view]) {

case "NY":

[url removed, login to view] = "[url removed, login to view]";


case "NJ":

[url removed, login to view] = "[url removed, login to view]";


case "other":

[url removed, login to view] = "[url removed, login to view]";


// oh dear we have selected a wrong option


alert("Sorry, wrong option selected");



I can help build any mysql but maybe API better?

Beceriler: Veri Girişi, Veri İşleme, Javascript, Perl, Web Sitesi Tasarımı

Daha fazlasını gör: www nj com, quote web service, location services api, location based services api, link build service, get location javascript, perl json, javascript call web service, value added service, val , RX, LOcation Based services, distance zip code, zip city state, location zip code, state code, simple perl ajax, city zip, build children, mysql quote, option quote, add quote, json form, javascript call api, embedded web services

İşveren Hakkında:
( 0 değerlendirme ) United States

Proje NO: #4386359

4 freelancers are bidding on average $208 for this job


Hello, We have reviewed your post and we are confident that we can deliver you your own site that list all of used cars similar and even better than your car selling company's website, designed and developed with ou Daha Fazla

in %bids___i_period_sub_35% gün içinde309%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(26 Değerlendirme)

pls chk pmb

in %bids___i_period_sub_35% gün içinde210%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(141 Değerlendirme)

Thank you for taking time to review our bid. We are certain that we will provide the full suite of integrated solutions required by your [url removed, login to view] have reviewed the project requirements, the requirements match our ski Daha Fazla

in %bids___i_period_sub_35% gün içinde257%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(70 Değerlendirme)

Ready to start work straight away !!! Please check PM and our reviews for work done for our prompt clients.

in %bids___i_period_sub_35% gün içinde226%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(5 Değerlendirme)

hi Iam interested to work with you. Pls send a details Yourr regards [url removed, login to view]

in %bids___i_period_sub_35% gün içinde140%project_currencyDetails_sign_sub_37% %project_currencyDetails_code_sub_38%
(0 Değerlendirme)