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<!doctype html>
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<html>
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<head>
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<meta charset="utf-8">
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<title>Inquiry Form - Asia Highlights</title>
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<meta content="width=device-width, initial-scale=1.0" name="viewport">
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<meta content="yes" name="apple-mobile-web-app-capable">
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<link href="/css/global.min.css" rel="stylesheet">
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<link href="/css/basic.css" rel="stylesheet">
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<link href="/css/inquiry-form-mobile.css" rel="stylesheet">
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<script src="/js/jquery-1.8.2.min.js"></script>
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<script src="/js/bootstrap.min.js"></script>
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</head>
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<body>
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<!--#include virtual="/aspbackup/inc/header.asp" -->
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<div id="formBanner">
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<img src="https://data.asiahighlights.com/image/mobile-form-header.jpg" src="little monk reading book" width="100%">
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<h1>Start Planning Your Trip</h1>
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<div class="howWeWork">
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Tell us your interests and get replied within 24 hours...
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</div>
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</div>
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<div class="container">
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<div id="inquiryBox">
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<h2>Your Travel Ideas</h2>
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<div class="interestedRoute">
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<div class="headerText">INTERESTED ITINERARY</div>
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<div class="routeName">10-Day Classic Thailand Tour: First Touch of Thailand</div>
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</div>
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<h3>Destinations: Thailand, Vietnam</h3><input id="check" type="checkbox" class="hidden">
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<div class="foldDestinations">
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<div class="readMore"><div class="selectionBlock">
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<div class="checkboxLabel">
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<input type="checkbox" value="Vietnam" id="vtn"
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name="destination"><label for="vtn">
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Vietnam</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="cambodia" id="cam"
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name="destination"><label for="cam">
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Cambodia
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="india" id="in"
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name="destination"><label for="in">
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India
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="thailand" id="thai"
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name="destination"><label for="thai">
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Thailand
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="myanmar" id="myan"
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name="destination"><label for="myan">
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Myanmar
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="japan" id="ja"
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name="destination"><label for="ja">
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Japan
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="laos" id="lao"
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name="destination"><label for="lao">
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Laos
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="Nepal" id="nep"
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name="destination"><label for="nep">
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Nepal
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="Sri Lanka" id="srilan"
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name="destination"><label for="srilan">
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Sri Lanka
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</label>
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</div>
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<div class="checkboxLabel">
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<input type="checkbox" value="China" id="china"
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name="destination"><label for="china">
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China
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</label>
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</div>
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<span class="formMemo">You are welcome to input other destinations below if it is not shown here.</span>
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</div></div></div>
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<label for="check" class="check-in">Choose more destinations<i class="fa fa-angle-down" aria-hidden="true"></i></label><label for="check" class="check-out">Fold<i class="fa fa-angle-up" aria-hidden="true"></i></label><div class="clear"></div>
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<div class="selectionBlock">
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<h3>Your hotel preference *</h3>
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<span class="formNote">Hotels prices in Japan are at least doubled based on the
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suggested rates below.</span>
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<form action="" method="GET">
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<div class="optionLable">
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<input type="radio" value="Luxury" id="fiveStar" name="hotel"><label
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for="fiveStar" class="hotelText">
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Luxury (5 stars & up)
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<div class="selectionMemo">USD 200+ / room / night</div>
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</div>
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</label>
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</div>
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<div class="optionLable">
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<input type="radio" value="Handpiched Comfort" id="fourStar"
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name="hotel"> <label for="fourStar" class="hotelText">
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Standard (3 stars)
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<div class="selectionMemo">USD 70-100 / room / night</div>
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</div>
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</label>
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</div>
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<div class="optionLable">
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<input type="radio" value="Standard" id="threeStar" name="hotel">
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<label for="threeStar" class="hotelText">
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Luxury (5 stars & up)
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<div class="selectionMemo">USD 200+ / room / night</div>
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</div>
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</label>
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</div>
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</form>
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</div>
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<div class="selectionBlock">
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<h3>Number in your group *</h3>
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<div class="peopleSelect">
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<span class="formMemo">Adults (≥12 years old)</span>
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<input class="number" type="text" value="2" οnblur="checkNumber(this)" name="adultnumber" />
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<div class="numberBtn">
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<input class="minaddBtn" type="button" value="-" οnclick="reductionOf(this)" />
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<input class="minaddBtn" type="button" value="+" οnclick="add(this)" /> </div>
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</div>
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<div class="peopleSelect">
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<span class="formMemo">Kids (2-11 years old)</span>
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<input class="number" type="text" value="0" οnblur="checkNumber(this)" name="kidnumber" />
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<div class="numberBtn">
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<input class="minaddBtn" type="button" value="-" οnclick="reductionOf(this)" />
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<input class="minaddBtn" type="button" value="+" οnclick="add(this)" /> </div>
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</div>
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</div>
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<div class="selectionBlock">
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<h3>Your date of arrival *</h3>
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<input type="text" class="arrivalDate datepicker hidden-xs" id="Date_Start"
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name="Date_Start" value="" placeholder="mm/dd/yyyy" autocomplete="off">
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<input type="date" class="arrivalDate visible-xs" id="Date_Start"
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name="Date_Start_Mobile" value="2019-12-19" min="2019-12-19"
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placeholder="mm/dd/yyyy" autocomplete="off">
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<div class="checkYes"><input type="checkbox" class="checkBorder"
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id="dateLimit" name="time"><label for="dateLimit"> I'm flexible on the date</label>
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</div>
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</div>
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<div class="selectionBlock">
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<h3>Tell us more to help us put together your ideal journey. </h3>
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<form action="" method="GET" class="travelTag">
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<div class="travelStyle">
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<input type="checkbox" value="family" id="familytrip"
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name="grouptype"><label for="familytrip">
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<div class="smallTag">
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<div class="styleText">Family</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="couple" id="cp" name="grouptype"><label
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for="cp">
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<div class="smallTag">
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<div class="styleText">Couple</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="solo" id="single" name="grouptype"><label
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for="single">
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<div class="smallTag">
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<div class="styleText">Solo</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="friends" id="mate" name="interests"><label
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for="mate">
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<div class="smallTag">
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<div class="styleText">Friends</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="vacation" id="holiday"
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name="grouptype"><label for="holiday">
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<div class="smallTag">
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<div class="styleText">Vacation</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="adventure" id="risk"
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name="interests"><label for="risk">
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<div class="smallTag">
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<div class="styleText">Adventure</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="food" id="gourmet" name="interests"><label
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for="gourmet">
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<div class="smallTag">
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<div class="styleText">Food</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="asiabeginner" id="firstasia"
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name="interests"><label for="firstasia">
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<div class="smallTag">
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<div class="styleText">First time to Asia</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="localculture" id="culture"
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name="interests"><label for="culture">
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<div class="smallTag">
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<div class="styleText">Culture&History</div>
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</div>
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</label>
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</div>
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<div class="travelStyle">
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<input type="checkbox" value="relax" id="rest" name="interests"><label
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for="rest">
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<div class="smallTag">
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<div class="styleText">Rest&relaxation</div>
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</div>
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</label>
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</div>
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</form>
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<textarea id="additionalrequirements" name="additionalrequirements" style="resize:none;"
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placeholder="E.g. Age range, duration, group situation, special requests..."></textarea>
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</div>
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<hr />
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<h2>Tell us about you...</h2>
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<div class="genderSelection">
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<form action="" method="GET">
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<div class="checkboxGender">
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<input type="radio" value="Mr" id="male" name="gender"><label
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for="male">Mr.
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</label>
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</div>
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<div class="checkboxGender">
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<input type="radio" value="Ms" id="female" name="gender"><label
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for="female">Ms.
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</label>
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</div>
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<div class="checkboxGender">
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<input type="radio" value="Mx" id="neutural" name="gender"><label
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for="neutural">Mx.
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</label>
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</div>
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</form>
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</div>
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<div class="inputTerm">
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<input type="text" name="name" required>
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<label>Full Name *</label>
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</div>
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<div class="inputTerm">
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<input type="email" name="email" required>
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<label>Email Address *</label>
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</div>
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<span class="formMemo">Your trip advisor will talk with you via email first.</span>
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<div class="inputTerm">
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<input type="text" name="nationality" required>
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<label>Nationality *</label>
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</div>
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<div class="inputTerm">
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<input type="text" name="nationality" required>
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<label>Phone number</label>
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</div><span class="formMemo">Area code + number. Only call if you ask.</span>
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<div class="checkYes whatsapp">
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<input type="checkbox" value="Available on WhatsApp" name="whatsapp" id="whatsapp" class="checkBorder">
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<label for="whatsapp">This number is available on WhatsApp</label>
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</div>
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<div class="inquiryBtn">
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<input type="submit" value="Start My Journey">
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</div>
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<div class="contactUs">
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<p>Can't decide? Why not <a href="https://www.asiahighlights.com/contact-us.htm">contact us</a> for help!</p>
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</div>
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</div>
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</div>
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<!--#include virtual="/aspbackup/inc/footer.asp" -->
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</body>
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</html> |