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Need to get Popup form from a website


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hello,

 

anyone here can help me. i want to get a popup from a website.. ok here is waht i want,

 

when you go to h t t p : / / o x i f r e s h [dot] com you will see on the top left schedule online today you will need to type in any U.S zip code like 92240...

 

i want to get that exact popup including the content.

 

please put it on a separate page where i can test. i can only pay a small amount to people who can help..

 

thanks

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