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@ -20,7 +20,7 @@
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<body>
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<div id="headerWrapper">
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< <div id="headerWrapper">
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<div id="header">
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<div id="mainnav" class="nav navbar" role="navigation">
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<div class="container-fluid">
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@ -33,14 +33,14 @@
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<div class="col-lg-16 col-sm-13 col-lg-offset-3 col-sm-offset-4">
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<div class="navbar-header">
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<div class="col-xs-24 btn-lg"></div>
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<div class="col-xs-24 text-white">Dear <?php echo $username; ?></div>
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<div class="col-xs-24 text-white">Reference Number: <?php echo $userinfo[0]->COLI_ID; ?></div>
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<div class="col-xs-24 text-white">Dear Dd</div>
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<div class="col-xs-24 text-white">Reference Number: LYY050317061</div>
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</div>
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</div>
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<div class="col-lg-5 col-sm-7 hidden-xs pull-right nopadding">
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<div class="tollfree pull-right">
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<div class="currentNo col-sm-24 nopadding"><span class="glyphicon glyphicon-earphone" style="font-size:12px;"></span> +86 773 <?php echo $userinfo[0]->OPI_Telephone; ?></div>
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<div class="currentNo col-sm-24 nopadding"><span class="glyphicon glyphicon-earphone" style="font-size:12px;"></span> +86 773 </div>
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<div class="col-sm-24">
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<div class="currentNo col-sm-24 nopadding"> 800-2682918 (USA/CA)</div>
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<div class="currentNo col-sm-24 nopadding"> 1800-764678 (AU)</div>
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@ -64,9 +64,10 @@
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<h4 class="text-center text-red">Please complete and submit the information below.</h4>
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<a name="passenger_information" id="passenger_information" ></a>
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</div>
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<form id="form-confirm-info" method="post" action="https://www.chinahighlights.com/secureinfoconfirm/confirm/save_confirm_info">
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<div class="panel panel-default">
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<div class="panel-body">
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<form id="form-confirm-info " method="post" action="https://www.chinahighlights.com/secureinfoconfirm/confirm/save_confirm_info">
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<div class="col-xs-24 personinfo-box">
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<div class="panel panel-default form" >
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<div class="panel-body form" >
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<div class="row panel-new-head">
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<h4 class="text-red">Passenger Information <span class="text-muted" style="font-size:15px;">(we need passport info for all the group members)</span><br/>
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@ -153,7 +154,6 @@
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<div class="form-group col-sm-4">
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<label class="visible-xs-block">Nationality</label>
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<select class="form-control input-sm common_input" name="nationality[]">
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<option value="18" selected="selected">Australia</option>
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<option value="5">Canada</option>
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@ -481,9 +481,9 @@
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</div>
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</div>
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</div>
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</div>
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<div class="col-xs-24 flightinfo-box">
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<div class="col-xs-24 flightinfo-box" >
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<div class="panel panel-default">
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<div class="panel-body">
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@ -522,7 +522,7 @@
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</div>
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</div>
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<div class="col-xs-24">
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<div class="col-xs-24 SpecialRequest">
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<div class="panel panel-default">
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<div class="panel-body">
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@ -550,7 +550,7 @@
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</div>
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</div>
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<?php if ($userinfo[0]->COLI_CustomerType != 44003) { ?>
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<div class="col-xs-24">
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<div class="col-xs-24 EmergencyContactInformation" >
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<div class="panel panel-default">
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<div class="panel-body">
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@ -599,7 +599,7 @@
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</div>
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<?php } ?>
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<div class="col-xs-24">
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<div class="col-xs-24 Insurance Information" >
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<div class="panel panel-default">
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<div class="panel-body">
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@ -641,7 +641,6 @@
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</div>
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</form>
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</div>
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</div>
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