gistfile1.js

	var custom_zip_search = '<div class="zip-search">'
		+ '<label class="alignleft">Enter Zip:<span class="help alignright"></span></label>'
		+ '<input type="text" name="zip_code_ZIPID" />'
		+ '<div class="add-zip alignleft"><span class="green-arrow"></span> <span class="available">Available</span> For You To Represent.'
		+ '<p><a href="#" class="add-another">Add another zip code for $100 annually</a></p>'
		+ '</div></div>';
	
	$( '.checkout-2 .gfield_checkbox li' ).each( function() {
		var $this = $( this ),
			$checkbox = $( 'input[type="checkbox"]', $this ),
			val = $checkbox.val(),
			checked = $checkbox.prop( 'checked' );
		
		if ( !checked ) {
			$this.remove();
		}
		else {
			var this_zip_search = custom_zip_search.replace( 'ZIPID', val );
			
			$this.append( this_zip_search );
		}
	});