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HTML5 web banner variable url

Coding of 300x250px web banner for [url removed, login to view] network.

I need help coding and implementing an input field and submit button in a banner. The design are done i .psd.

Visitors must be able to enter a zipcode in the banner and submit it, to get redirected to landing page specifically made for that zip code.

The banner should pass the input variable, submitted in the banner to the clicktag destination URL as an variable. (i.e url+inputvariable)

Experience with [url removed, login to view] or doubleclick an advantage.

IMPORTANT!!!!
PLEASE PROVIDE SAMPLE OF WORK WITH THIS FUNCTIONALITY!!!

UPDATE!
Should be made as Script Banner and use macros like below to handel click tracking.
%%CACHEBUSTER%%
%%CLICK_URL_ESC%%
%%CLICK_URL_UNESC%%

See script banner example here:
<script language="javascript" src=" http://track.adform.net/adfscript/?bn=14333349;click=%%CLICK_URL_ESC%% "></script> <noscript> <a href="%%CLICK_URL_UNESC%%http://track.adform.net/C/?bn=14333349;C=0" target="_blank"> <img src=" http://track.adform.net/adfserve/?bn=14333349;srctype=4;ord=%%CACHEBUSTER %% " border="0" width="930" height="180" alt=""/> </a> </noscript>

Habilidades: Diseño de carteles, HTML, HTML5, Javascript, jQuery / Prototype

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Información del empleador:
( 2 comentarios ) Rødovre, Denmark

ID de proyecto: #11757235

Adjudicado a:

adminpb

Hi Could I see your design? I have developed banner for Adform before. I am professional banner creator with over 7 years experience in this field. I work quickly and deliver high quality banners. Look my profil Más

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animotionart

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prashushinde9

Hello, I understood the initial scope of this project. Although i want to discuss further this job in order to prepare the final concept for this project. After Complete discussion over the call or in chat, i wi Más

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lss007

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aamong

Hi There, I have experience in making banners for doubleclick Studio and adwords, please check my html5 work examples here :[url removed, login to view] Your Project: As per your description you need have yo Más

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xielessupport

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Webbleu

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overtservices

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chapira

Hi. I have a huge experience in banner ads production. I code from zero, In pure css3 code. no libs, more quality! please have a look at some samples: [url removed, login to view] any question sk Más

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freehandaffiliat

Please provide us a chance to speak to you so that we can understand yours requirement in-depth and provide you our understanding on this placeholder bid. This might be the new profile here, but we have been in this i Más

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amaadtahir

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SmartsBee

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codetechservices

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RubyOnRail

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