Create an html form with the following 2 fields:

1) Zip Code - type: text box 2) Product - type: radio buttons (vertically aligned) o Short sales o Deed in Lieu o Loan Modifications o Talk to counselor / other options Javascript to redirect visitor to url based on form inputs: 1. If Zip = 90000-99999 & "Short sales" is selected, redirect to: - [login to view URL] 2. If Zip = 90000-99999 & "Deed in Lieu" is selected, redirect to: - [login to view URL] 3. If Zip = 90000-99999 & "Loan Modifications" is selected, redirect to: - [login to view URL] 4. If Zip = 90000-99999 & "Talk to Counselor / other", is selected, redirect to: - [login to view URL] 5. If Zip = else & "Short sales" is selected, redirect to: - [login to view URL] 6. If Zip = else & "And Deed in Lieu" is selected, redirect to: - [login to view URL] 7. If Zip = else & "Loan Modifications" is selected, redirect to: - [login to view URL] 8. If Zip = else & "Talk to Counselor / other", is selected, redirect to: - [login to view URL]