Need Javascript Coding To Add To My WordPress Site

In order to complete the site, we need some simple javascript code to add to use within our WordPress template file. The website is for an association of merchants. We need javascript for one of our webpages that allows a user to input a website address and then click the submit button. The submit button will either take them to a page that says the particular website is a member merchant or to a page with a generic message that the website is not a member merchant. We will create all the webpages, we just need you to write the javascript for us.

The form will have the following:
“Please enter the website you would like to verify: www.[textbox]
Submit Button

We would like simple script that allows us to add on to it as new member sites join, for example something like this that is intuitive for us to figure out:

case ‘www.123.com’:
url = http://abc.com/?page_id=30
case ‘www.xyz.com’
url = ‘http://abc.com/?page_id=18’
case ‘[new entry]’
url = ‘http://abccom/?page_id=43’

We also need code for a CAPTCHA to work with the form.

Are you interested in this project? If yes, then how much would you charge to provide us with that script and how long would it take you to complete?

We need this done sort of quick.

Thanks and if you have any questions, please let me know.

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