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89 lines
15 KiB
PHP
89 lines
15 KiB
PHP
<div class="container-details">
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<div class="bookingbox">
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<div class="booking">
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<div class="bookingtitle">
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<div class="bg-triangle"> <span class="bgarrow"></span>
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<p class="text-center">from US $<span class="js_getTourPrice font36" data="<?php echo $TourCode ?>"></span> p/p</p>
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</div>
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</div>
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<form name="qiform" id="qiform" action="" method="post">
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<div class="quick-inquiry quick-inquiry2">
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<p><strong>*How Many People In Your Group?</strong></p>
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<div class="flex-row form-box">
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<div class="flex-col-3 col-label2"><label>Adults <span class="font14 color8">(≥12 years old)</span></label>
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<div class="input-group"><a class="input-group-addon js_sub" href="javascript:;">-</a> <input class="form-control addon-num" mindata="1" name="adults" type="" value="2"> <a class="input-group-addon js_Add" href="javascript:;">+</a></div>
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</div>
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<div class="flex-col-3 col-label2"><label>Children <span class="font14 color8">(2-11 years old)</span></label>
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<div class="input-group"><a class="input-group-addon js_sub" href="javascript:;">-</a> <input class="form-control addon-num" name="children" type="" value="0"> <a class="input-group-addon js_Add" href="javascript:;">+</a></div>
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</div>
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<div class="flex-col-3 col-label2"><label>Infants <span class="font14 color8">(<2 years old)</span></label>
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<div class="input-group"><a class="input-group-addon js_sub" href="javascript:;">-</a> <input class="form-control addon-num" name="babies" type="" value="0"> <a class="input-group-addon js_Add" href="javascript:;">+</a></div>
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</div>
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</div>
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<p><strong>*What's Your Hotel Preference?</strong></p>
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<div class="flex-row visible-md">
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<div class="flex-col-3 col-label">
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<input class="mgc" id="r9" name="hoteltype" type="radio" value="5-star" />
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<label for="r9">5 Star (Luxury)</label>
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</div>
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<div class="flex-col-3 col-label">
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<input checked="CHECKED" class="mgc" id="r10" name="hoteltype" type="radio" value="4-star" />
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<label for="r10">4 Star (Comfort)</label>
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</div>
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<div class="flex-col-3 col-label">
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<input class="mgc" id="r11" name="hoteltype" type="radio" value="3-Star" />
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<label for="r11">3 Star (Economy)</label>
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</div>
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</div>
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<div class="visible-xs m-bottom20"><select class="form-control" id="Hotel" name="Hotel">
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<option>5 Star (Luxury)</option>
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<option selected="selected" value="">4 Star (Comfort)</option>
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<option>3 Star (Economy)</option>
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</select></div>
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<textarea rows="2" class="form-control m-bottom15" id="form_additionalrequirements" name="form_additionalrequirements" placeholder="Share your specific needs here, e.g. It's a family trip, anniversary, birthday... "></textarea>
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<div class="flex-row">
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<div class="flex-col-2 ">
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<div class="input-group margin0"> <span class="input-group-addon"><span class="f-name"></span></span>
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<input class="form-control" name="realname" id="realname" value="" type="text" placeholder="Full Name *">
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</div></div>
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<div class="flex-col-2">
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<div class="input-group margin0"> <span class="input-group-addon"><span class="f-date"></span></span>
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<input class="form-control" name="starting_date" id="starting_date" value="" type="text" placeholder="Start Date *">
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</div></div></div>
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<div class="flex-row">
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<div class="flex-col-2"><div class="input-group margin0"><span class="input-group-addon"><span class="f-nationality"></span></span> <select class="form-control" id="nationality" name="nationality"><option selected="selected" value="">Nationality *</option> <optgroup label="----------------------------"><option value="3">United States</option><option value="7">United Kingdom</option><option value="18">Australia</option><option value="5">Canada</option><option value="1">China</option><option value="8">France</option><option value="6">Germany</option><option value="9">Italy</option><option value="19">Malaysia</option><option value="20">New Zealand</option><option value="23">Philippines</option><option value="27">Singapore</option></optgroup> <optgroup label="----------------------------"><option value="458">Afghanistan</option><option value="459">Albania</option><option value="460">Algeria</option><option value="461">American Samoa</option><option value="462">Andorra</option><option value="463">Angola</option><option value="464">Anguilla</option><option value="465">Antarctica</option><option value="466">Antigua And Barbuda</option><option value="467">Argentina</option><option value="468">Armenia</option><option value="469">Aruba</option><option value="18">Australia</option><option value="470">Austria</option><option value="471">Azerbaijan</option><option value="472">Bahamas</option><option value="473">Bahrain</option><option value="474">Bangladesh</option><option value="671">Barbadian</option><option value="475">Barbados</option><option value="476">Belarus</option><option value="477">Belgium</option><option value="478">Belize</option><option value="479">Benin</option><option value="480">Bermuda</option><option value="481">Bhutan</option><option value="482">Bolivia</option><option value="483">Botswana</option><option value="484">Bouvet Island</option><option value="38">Brazil</option><option value="485">British Indian Ocean Territory</option><option value="486">Brunei Darussalam</option><option value="487">Bulgaria</option><option value="488">Burkina Faso</option><option value="489">Burundi</option><option value="490">Cambodia</option><option value="491">Cameroon</option><option value="5">Canada</option><option value="493">Cape Verde</option><option value="494">Cayman Islands</option><option value="495">Central African Republic</option><option value="496">Chad</option><option value="497">Chile</option><option value="1">China</option><option value="10">China HK</option><option value="499">Christmas Island</option><option value="500">Colombia</option><option value="501">Comoros</option><option value="502">Congo</option><option value="504">Cook Islands</option><option value="505">Costa Rica</option><option value="506">Croatia</option><option value="507">Cuba</option><option value="508">Cyprus</option><option value="509">Czech Republic</option><option value="510">Czechoslovakia</option><option value="511">Denmark</option><option value="512">Djibouti</option><option value="513">Dominica</option><option value="514">Dominican Republic</option><option value="515">East Timor</option><option value="516">Ecuador</option><option value="517">Egypt</option><option value="518">El Salvador</option><option value="520">Equatorial Guinea</option><option value="521">Eritrea</option><option value="522">Estonia</option><option value="523">Ethiopia</option><option value="524">Falkland Islands</option><option value="525">Faroe Islands</option><option value="526">Fiji</option><option value="527">Finland</option><option value="8">France</option><option value="528">French Guiana</option><option value="529">French Polynesia</option><option value="530">Gabon</option><option value="531">Gambia</option><option value="532">Georgia</option><option value="6">Germany</option><option value="533">Ghana</option><option value="534">Gibraltar</option><option value="536">Greece</option><option value="537">Greenland</option><option value="538">Grenada</option><option value="539">Guadeloupe</option><option value="540">Guam</option><option value="670">Guatemala</option><option value="541">Guernsey</option><option value="542">Guinea</option><option value="543">Guinea-Bissau</option><option value="544">Guyana</option><option value="545">Haiti</option><option value="546">Honduras</option><option value="547">Hong Kong(China)</option><option value="548">Hungary</option><option value="36">Iceland</option><option value="22">India</option><option value="549">Indonesia</option><option value="550">Iran</option><option value="551">Iraq</option><option value="552">Ireland</option><option value="553">Isle Of Man</option><option value="21">Israel</option><option value="9">Italy</option><option value="554">Jamaica</option><option value="2">Japan</option><option value="556">Jersey</option><option value="557">Jordan</option><option value="558">Kazakhstan</option><option value="668">Kazakhstan2</option><option value="559">Kenya</option><option value="560">Kiribati</option><option value="562">Korea</option><option value="563">Kuwait</option><option value="564">Kyrgyzstan</option><option value="35">Laos</option><option value="565">Latvia</option><option value="566">Lebanon</option><option value="567">Lesotho</option><option value="568">Liberia</option><option value="569">Libyan Arab Jamahiriya</option><option value="570">Liechtenstein</option><option value="571">Lithuania</option><option value="572">Luxembourg</option><option value="573">Macau(China)</option><option value="574">Macedonia</option><option value="575">Madagascar</option><option value="576">Malawi</option><option value="19">Malaysia</option><option value="577">Maldives</option><option value="578">Mali</option><option value="579">Malta</option><option value="580">Marshall Islands</option><option value="581">Martinique</option><option value="582">Mauritania</option><option value="583">Mauritius</option><option value="584">Mayotte</option><option value="32">Mexican</option><option value="585">Micronesia</option><option value="586">Moldova</option><option value="587">Monaco</option><option value="29">Mongolia</option><option value="678">Montenegro</option><option value="588">Montserrat</option><option value="589">Morocco</option><option value="590">Mozambique</option><option value="591">Myanmar</option><option value="592">Namibia</option><option value="593">Nauru</option><option value="31">Nepal</option><option value="39">Netherlands</option><option value="594">Netherlands Antilles</option><option value="595">Neutral Zone</option><option value="596">New Caledonia</option><option value="20">New Zealand</option><option value="597">Nicaragua</option><option value="598">Niger</option><option value="599">Nigeria</option><option value="600">Niue</option><option value="601">Norfolk Island</option><option value="33">North Korea</option><option value="602">Northern Mariana Islands</option><option value="37">Norway</option><option value="603">Oman</option><option value="604">Pakistan</option><option value="605">Palau</option><option value="606">Panama</option><option value="607">Papua New Guinea</option><option value="608">Paraguay</option><option value="609">Peru</option><option value="23">Philippines</option><option value="610">Pitcairn</option><option value="611">Poland</option><option value="612">Portugal</option><option value="613">Puerto Rico</option><option value="614">Qatar</option><option value="615">Reunion</option><option value="616">Romania</option><option value="24">Russian Federation</option><option value="617">Rwanda</option><option value="618">Saint Helena</option><option value="619">Samoa</option><option value="620">San Marino</option><option value="621">Sao Tome and Principe</option><option value="622">Saudi Arabia</option><option value="674">Scotland</option><option value="623">Senegal</option><option value="678">Serbia</option><option value="624">Seychelles</option><option value="625">Sierra Leone</option><option value="27">Singapore</option><option value="626">Slovakia</option><option value="627">Slovenia</option><option value="628">Solomon Islands</option><option value="629">Somalia</option><option value="630">South Africa</option><option value="631">South Georgia and The Sandwich</option><option value="26">Spain</option><option value="632">Sri Lanka</option><option value="633">Sudan</option><option value="634">Suriname</option><option value="635">Swaziland</option><option value="636">Sweden</option><option value="25">Switzerland</option><option value="637">Syrian Arab Republic</option><option value="638">Taiwan(China)</option><option value="639">Tanzania</option><option value="28">Thailand</option><option value="676">The Republic of Cote d'ivoire</option><option value="640">Togo</option><option value="641">Tokelau</option><option value="642">Tonga</option><option value="643">Trinidad and Tobago</option><option value="644">Tunisia</option><option value="645">Turkey</option><option value="646">Turkmenistan</option><option value="647">Turks and Caicos Islands</option><option value="648">Tuvalu</option><option value="649">Uganda</option><option value="650">Ukraine</option><option value="651">United Arab Emirates</option><option value="7">United Kingdom</option><option value="3">United States</option><option value="652">Uruguay</option><option value="653">USSR</option><option value="654">Uzbekistan</option><option value="655">Vanuatu</option><option value="656">Vatican City State</option><option value="657">Venezuela</option><option value="30">Vietnam</option><option value="659">Virgin Islands (British)</option><option value="660">Virgin Islands (U.S.)</option><option value="661">Western Sahara</option><option value="662">Yemen</option><option value="663">Yugoslavia</option><option value="664">Zaire</option><option value="665">Zambia</option><option value="666">Zimbabwe</option> </optgroup> </select></div></div>
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<div class="flex-col-2"><div class="input-group margin0"> <span class="input-group-addon"><span class="f-phone"></span></span>
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<input class="form-control" name="PhoneNo" id="PhoneNo" value="" type="text" placeholder="Phone Number *">
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</div></div>
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</div>
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<div class="input-group"> <span class="input-group-addon"><span class="f-email"></span></span>
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<input class="form-control" name="email" id="email" value="" type="text" placeholder="Email Address *">
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</div>
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<p style="margin-bottom: 5px; margin-top: -8px; line-height: 20px;"> I prefer to be contacted via:</p>
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<div class="flex-row m-bottom20">
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<div class="flex-col-4 col-label2"><input class="magic-checkbox" id="c2" name="Contact_Info[]" type="checkbox" value="WhatsApp"><label class="m-bottom10" for="c2">WhatsApp</label></div>
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<div class="flex-col-4 col-label2"><input class="magic-checkbox" id="c5" name="Contact_Info[]" type="checkbox" value="Wechat"><label class="m-bottom10" for="c5">Wechat</label></div>
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<div class="flex-col-4 col-label2"><input class="magic-checkbox" id="c3" name="Contact_Info[]" type="checkbox" value="Phone_Cal"><label class="m-bottom10" for="c3">Phone call</label></div>
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<div class="flex-col-4 col-label2"><input class="magic-checkbox" id="c4" name="Contact_Info[]" type="checkbox" value="Email"><label class="m-bottom10" for="c4">Email</label></div>
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</div>
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<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>
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<input name="TourCode" type="hidden" id="TourCode" value="<?php echo $TourCode ?>">
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<input name="CLI_SN" type="hidden" id="CLI_SN" value="<?php echo $CLI_SN ?>">
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<input name="TourName" type="hidden" id="TourName" value="<?php echo $TourName ?>">
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<p class="text-center m-top20 color6"> <i>Your travel consultant will reach you within 1 working day.</i></p>
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</div>
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</form>
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</div>
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</div>
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</div>
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