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information-system/application/views/mobile_first/chinatravel-form-tourqi.php

39 lines
2.5 KiB
PHTML

<div class="container-details">
<div class="bookingbox">
<div class="booking">
<div class="bookingtitle">
<div class="bg-triangle"> <span class="bgarrow"></span>
3 years ago
<p class="text-center">from US $<span class="js_getTourPrice font36" data="<?php echo $TourCode ?>"></span> p/p</p>
</div>
</div>
<form name="qiform" id="qiform" action="" method="post">
<div class="quick-inquiry quick-inquiry2">
<div class="input-group"> <span class="input-group-addon"><span class="f-name"></span></span>
<input class="form-control" name="realname" id="realname" value="" type="text"
placeholder="Full Name">
</div>
<div class="input-group"> <span class="input-group-addon"><span class="f-email"></span></span>
<input class="form-control" name="email" id="email" value="" type="text"
placeholder="Email Address">
</div>
<div class="input-group"> <span class="input-group-addon"><span class="f-phone"></span></span>
<input class="form-control" name="PhoneNo" id="PhoneNo" value="" type="text"
placeholder="Other Contacts">
</div>
<div class="input-group"> <span class="input-group-addon"><span class="f-date"></span></span>
<input class="form-control" name="starting_date" id="starting_date" value="" type="text"
placeholder="Start Date">
</div>
<textarea rows="3" class="form-control m-bottom20" id="form_additionalrequirements"
name="form_additionalrequirements" placeholder="Special Requirments"></textarea>
<p class="text-center"><a href="javascript:;" class="btn-orange font20" id="form_submit">Inquire This
Tour <i class="fa fa-angle-right font20" aria-hidden="true"></i></a></p>
<input name="TourCode" type="hidden" id="TourCode" value="<?php echo $TourCode ?>">
<input name="CLI_SN" type="hidden" id="CLI_SN" value="<?php echo $CLI_SN ?>">
<input name="TourName" type="hidden" id="TourName" value="<?php echo $TourName ?>">
</div>
</form>
</div>
</div>
</div>