Php Web Form Needed Asap

Php Web Form Needed Asap
I am need of a programmer to create a webform where a person can input a 5 digit zip code into a box, and then run a query from the website to see if they offer service in that zip code. If the zip code they entered is one of the zip codes that they client services, they will see a message that says that they serve the area.

If the zip code they entered isnt an area they serve, they will see a message appear that says that they dont serve the area.

This will all be part of a webform where a person can do the search on the website.

Please let me know if more details are needed. Small budget!

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