www.rivierarivercruises.com Open in urlscan Pro
45.60.121.237  Public Scan

Submitted URL: https://mercury-uat.rivieratravel.co.uk/
Effective URL: https://www.rivierarivercruises.com/
Submission: On September 15 via api from US — Scanned from CA

Form analysis 9 forms found in the DOM

search

<form action="search" class="search-container navbar-form navbar-left">
  <div class="search input-group"><input class="form-control search-autocomplete ui-autocomplete-input" id="searchbox" name="searchbox" placeholder="Search" type="text" autocomplete="off"><span class="input-group-btn"><button class="btn btn-default"
        type="submit"><i class="fa fa-search">&nbsp;</i></button> </span></div>
</form>

/search

<form action="/search" class="search-container navbar-form navbar-left">
  <div class="search input-group"><input class="form-control search-autocomplete ui-autocomplete-input" id="searchbox" name="searchbox" placeholder="Search holidays" type="text" autocomplete="off"><span class="input-group-btn"><button
        class="btn btn-default" type="submit"><i class="fa fa-search">&nbsp;</i></button> </span></div>
</form>

GET /search

<form class="navmultioptionsearch" action="/search" method="GET">
  <div class="searchmultistatuscontainer" data-targetmenu="destinationcontainer" data-original-title="Start the search for your next holiday here">
    <div class="status">
      <i class="fas fa-map-marker-alt">&nbsp;</i> Destination <span class="destinationcounter">(All)</span>
    </div>
  </div>
  <div class="searchmultiselectcontainer destinationcontainer">
    <div class="searchwaiting">
      <p><i class="fas fa-spinner fa-pulse"></i>&nbsp;&nbsp;Please Wait..</p>
    </div>
    <div class="searchheading">Please select from <br class="visible-xs">the options below</div>
    <a class="searchmenuclose">Close<i class="fas fa-times">&nbsp;</i></a>
    <fieldset>
      <div class="col-xs-12 col-sm-2 groupcol">
        <div class="customcheckbox">
          <input type="checkbox" value="0" id="SMDG_0" class="checkall destination" name="SMDG">
          <label class="checkbox" data-for="SMDG_0">All Destinations</label>
        </div>
        <div class="customcheckbox">
          <input type="checkbox" id="SMDG_1" data-tag="checkAllEurope" name="SMDG" class="checkgroup destination">
          <label class="checkbox" data-for="SMDG_1">All Europe</label>
        </div>
      </div>
      <div class="col-xs-12 col-sm-10 optionscol">
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1000" id="SMDO_Austria" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Austria">Austria</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Austria" id="SMDO_Austria_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1026" id="SMDO_Belgium" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Belgium">Belgium</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Belgium" id="SMDO_Belgium_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1033" id="SMDO_Bulgaria" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Bulgaria">Bulgaria</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Bulgaria" id="SMDO_Bulgaria_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1004" id="SMDO_Croatia" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Croatia">Croatia</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Croatia" id="SMDO_Croatia_N" class="hidden checkdestname">
        </div>
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1005" id="SMDO_France" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_France">France</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="France" id="SMDO_France_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1001" id="SMDO_Germany" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Germany">Germany</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Germany" id="SMDO_Germany_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1002" id="SMDO_Hungary" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Hungary">Hungary</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Hungary" id="SMDO_Hungary_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1007" id="SMDO_Portugal" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Portugal">Portugal</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Portugal" id="SMDO_Portugal_N" class="hidden checkdestname">
        </div>
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1032" id="SMDO_Romania" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Romania">Romania</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Romania" id="SMDO_Romania_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1034" id="SMDO_Serbia" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Serbia">Serbia</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Serbia" id="SMDO_Serbia_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1003" id="SMDO_Slovakia" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Slovakia">Slovakia</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Slovakia" id="SMDO_Slovakia_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1006" id="SMDO_Spain" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Spain">Spain</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Spain" id="SMDO_Spain_N" class="hidden checkdestname">
        </div>
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1008" id="SMDO_Switzerland" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_Switzerland">Switzerland</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="Switzerland" id="SMDO_Switzerland_N" class="hidden checkdestname">
          <div class="customcheckbox">
            <input type="checkbox" name="DestinationID[]" value="1025" id="SMDO_TheNetherlands" class="destinationgroup1 destinationgroup2 checkAllEurope FromRegion" data-parent="SMDG_1">
            <label class="checkbox" data-for="SMDO_TheNetherlands">The Netherlands</label>
          </div>
          <input type="checkbox" name="DestinationName[]" value="The Netherlands" id="SMDO_TheNetherlands_N" class="hidden checkdestname">
        </div>
      </div>
    </fieldset>
    <div class="scrollnote" style="display: none;">
      <p>Scroll for more</p>
    </div>
    <div class="searchfooter">
      <a class="searchmenuback"><i class="fas fa-chevron-left">&nbsp;</i>Back</a>
      <a class="searchmenunext">Next<i class="fas fa-chevron-right">&nbsp;</i></a>
      <input class="btn btn-primary" type="submit" value="Search">
    </div>
  </div>
  <div class="searchmultistatuscontainer" data-targetmenu="typecontainer">
    <div class="status">
      <i class="fas fa-suitcase">&nbsp;</i> Cruise Type <span class="typecounter">(All)</span>
    </div>
  </div>
  <div class="searchmultiselectcontainer typecontainer">
    <div class="searchwaiting">
      <p><i class="fas fa-spinner fa-pulse"></i>&nbsp;&nbsp;Please Wait..</p>
    </div>
    <div class="searchheading">Please select from <br class="visible-xs">the options below</div>
    <a class="searchmenuclose">Close<i class="fas fa-times">&nbsp;</i></a>
    <fieldset>
      <div class="col-xs-12 col-sm-4 groupcol">
        <div class="customcheckbox">
          <input type="checkbox" value="0" id="SMTG_0" class="checkall type" name="SMTypeGroup">
          <label class="checkbox" data-for="SMTG_0">All Cruise Types</label>
        </div>
      </div>
      <div class="col-xs-12 col-sm-8 optionscol">
        <div class="col-xs-12 col-sm-6">
          <div class="customcheckbox">
            <input type="checkbox" id="SMTO_Group12" data-tag="SMTO_Group12" class="checkgroup holidaytype" name="SMTO_Group">
            <label class="checkbox" data-for="SMTO_Group12"><strong>All River Cruises</strong></label>
          </div>
          <div class="customcheckbox">
            <input name="HolidayTypeID[]" type="checkbox" value="3320" id="SMTO_3320" class="typegroup1 typegroup2 SMTO_Group12">
            <label class="checkbox" data-for="SMTO_3320">River Cruises</label>
          </div>
          <div class="customcheckbox">
            <input name="HolidayTypeID[]" type="checkbox" value="3329" id="SMTO_3329" class="typegroup1 typegroup2 SMTO_Group12">
            <label class="checkbox" data-for="SMTO_3329">Cruises for Solo travelers</label>
          </div>
        </div>
        <div class="col-xs-12 col-sm-6">
          <div class="customcheckbox">
            <input type="checkbox" id="SMTO_Group13" data-tag="SMTO_Group13" class="checkgroup holidaytype" name="SMTO_Group">
            <label class="checkbox" data-for="SMTO_Group13"><strong>All Yacht Cruises</strong></label>
          </div>
          <div class="customcheckbox">
            <input name="HolidayTypeID[]" type="checkbox" value="3322" id="SMTO_3322" class="typegroup1 typegroup2 SMTO_Group13">
            <label class="checkbox" data-for="SMTO_3322">Yacht Cruises</label>
          </div>
        </div>
      </div>
    </fieldset>
    <div class="scrollnote" style="display: none;">
      <p>Scroll for more</p>
    </div>
    <div class="searchfooter">
      <a class="searchmenuback"><i class="fas fa-chevron-left">&nbsp;</i>Back</a>
      <a class="searchmenunext">Next<i class="fas fa-chevron-right">&nbsp;</i></a>
      <input class="btn btn-primary" type="submit" value="Search">
    </div>
  </div>
  <div class="searchmultistatuscontainer" data-targetmenu="holdatecontainer">
    <div class="status">
      <i class="fas fa-calendar-alt">&nbsp;</i> Departure Date <span class="holdatecounter">(All)</span>
    </div>
  </div>
  <div class="searchmultiselectcontainer holdatecontainer">
    <div class="searchwaiting">
      <p><i class="fas fa-spinner fa-pulse"></i>&nbsp;&nbsp;Please Wait..</p>
    </div>
    <div class="searchheading">Please select from <br class="visible-xs">the options below</div>
    <a class="searchmenuclose">Close<i class="fas fa-times">&nbsp;</i></a>
    <fieldset>
      <div class="col-xs-12 col-sm-2 groupcol">
        <div class="customcheckbox">
          <input type="checkbox" value="0" id="SMDTG_0" class="checkall date" name="SMDateGroup">
          <label class="checkbox" data-for="SMDTG_0">All Dates</label>
        </div>
      </div>
      <div class="col-xs-12 col-sm-10 optionscol">
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" value="2024-09-01" id="SMDTO_2024-09-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2024-09-01">September 2024</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2024-10-01" id="SMDTO_2024-10-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2024-10-01">October 2024</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2024-11-01" id="SMDTO_2024-11-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2024-11-01">November 2024</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2024-12-01" id="SMDTO_2024-12-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2024-12-01">December 2024</label>
          </div>
        </div>
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" value="2025-03-01" id="SMDTO_2025-03-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-03-01">March 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-04-01" id="SMDTO_2025-04-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-04-01">April 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-05-01" id="SMDTO_2025-05-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-05-01">May 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-06-01" id="SMDTO_2025-06-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-06-01">June 2025</label>
          </div>
        </div>
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" value="2025-07-01" id="SMDTO_2025-07-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-07-01">July 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-08-01" id="SMDTO_2025-08-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-08-01">August 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-09-01" id="SMDTO_2025-09-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-09-01">September 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-10-01" id="SMDTO_2025-10-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-10-01">October 2025</label>
          </div>
        </div>
        <div class="col-xs-12 col-sm-3">
          <div class="customcheckbox">
            <input type="checkbox" value="2025-11-01" id="SMDTO_2025-11-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-11-01">November 2025</label>
          </div>
          <div class="customcheckbox">
            <input type="checkbox" value="2025-12-01" id="SMDTO_2025-12-01" class="dategroup1 dategroup2" name="TourCacheID[]">
            <label class="checkbox" data-for="SMDTO_2025-12-01">December 2025</label>
          </div>
        </div>
      </div>
    </fieldset>
    <div class="scrollnote" style="display: none;">
      <p>Scroll for more</p>
    </div>
    <div class="searchfooter">
      <a class="searchmenuback finalpanel"><i class="fas fa-chevron-left">&nbsp;</i>Back</a>
      <input class="btn btn-primary" type="submit" value="Search">
    </div>
  </div>
  <div class="searchmultibuttoncontainer">
    <input class="btn btn-primary btn-block" type="submit" value="Search">
  </div>
  <div class="searchmultiresetcontainer">
    <a class="searchresetlink" href="javascript:void(0);" onclick="javascript:frontend.multiSearchReset(this);">Reset</a>
  </div>
</form>

<form id="enquiryEmailForm" novalidate="novalidate" class="fv-form fv-form-bootstrap"><button type="submit" class="fv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
  <div class="modal-header">
    <a class="close pull-left" aria-label="Close"><span aria-hidden="true"><i class="fas fa-chevron-left"></i>&nbsp;&nbsp;Back</span></a>
    <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
    <h4 class="modal-title" id="enquiryEmailLabel">Email for an enquiry</h4>
  </div>
  <div class="modal-body">
    <div class="form-group">
      <div class="row">
        <div class="modal-error"></div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input id="enquiryEmail_FirstName" name="enquiryEmail_FirstName" class="form-control" tabindex="3" required="" placeholder="First Name:" autocomplete="off"
            data-fv-field="enquiryEmail_FirstName"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="enquiryEmail_FirstName" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="enquiryEmail_FirstName" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="stringLength"
            data-fv-for="enquiryEmail_FirstName" data-fv-result="NOT_VALIDATED" style="display: none;">Too short</small>
        </div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input id="enquiryEmail_LastName" name="enquiryEmail_LastName" class="form-control" tabindex="4" required="" placeholder="Last Name:" autocomplete="off"
            data-fv-field="enquiryEmail_LastName"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="enquiryEmail_LastName" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="enquiryEmail_LastName" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="stringLength"
            data-fv-for="enquiryEmail_LastName" data-fv-result="NOT_VALIDATED" style="display: none;">Too short</small>
        </div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input id="enquiryEmail_EmailAddress" name="enquiryEmail_EmailAddress" class="form-control" tabindex="5" required="" placeholder="Email Address:" autocomplete="off" type="email"
            data-fv-field="enquiryEmail_EmailAddress"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="enquiryEmail_EmailAddress" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="enquiryEmail_EmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="emailAddress"
            data-fv-for="enquiryEmail_EmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small>
        </div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input id="enquiryEmail_ConfirmEmailAddress" name="enquiryEmail_ConfirmEmailAddress" class="form-control" tabindex="5" required="" placeholder="Confirm Email Address:" autocomplete="off" type="email"
            data-fv-field="enquiryEmail_ConfirmEmailAddress"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="enquiryEmail_ConfirmEmailAddress" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="enquiryEmail_ConfirmEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="identical"
            data-fv-for="enquiryEmail_ConfirmEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">Email Address and Confirm Email Address do not match</small><small class="help-block" data-fv-validator="emailAddress"
            data-fv-for="enquiryEmail_ConfirmEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small>
        </div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input id="enquiryEmail_PhoneNumber" name="enquiryEmail_PhoneNumber" class="form-control" tabindex="5" required="" placeholder="Phone Number:" autocomplete="off" type="tel"
            data-fv-field="enquiryEmail_PhoneNumber"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="enquiryEmail_PhoneNumber" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="enquiryEmail_PhoneNumber" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="stringLength"
            data-fv-for="enquiryEmail_PhoneNumber" data-fv-result="NOT_VALIDATED" style="display: none;">Too short</small>
        </div>
      </div>
    </div>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-12">
          <textarea class="form-control" id="enquiryEmail_Message" name="enquiryEmail_Message" placeholder="Message:" rows="5"></textarea>
        </div>
      </div>
    </div>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-12">
          <div class="form-group">
            <div class="customcheckbox">
              <input type="checkbox" value="N" id="subscribeRelevantInfoWishlist" class="subscribeRelevantInfo" name="subscribeRelevantInfoWishlist">
              <label data-for="subscribeRelevantInfoWishlist"><span class="checkbox">Please tick if you would like us to send you relevant information about our products and services, news and events by email.</span></label>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group">
      <input style="display:none !important" tabindex="-1" autocomplete="off" class="form-control" id="enquiryEmail_Mobile" name="enquiryEmail_Mobile" placeholder="Enter your Mobile Number:" type="text">
      <!--<div class="captchacontainer" id="enquiryEmailFormCaptcha">&nbsp;</div>-->
    </div>
  </div>
  <div class="modal-footer">
    <div class="form-group">
      <div class="col-xs-12">
        <input type="hidden" id="enquiryEmail_HolidayInfo" name="enquiryEmail_HolidayInfo" autocomplete="off">
        <button id="enquireEmailSubmit" type="submit" class="btn btn-primary btn-block">Submit</button>
      </div>
    </div>
  </div>
</form>

<form id="enquiryOptionsForm">
  <div class="modal-header">
    <a class="close pull-left" data-dismiss="modal" aria-label="Close"><span aria-hidden="true"><i class="fas fa-chevron-left"></i>&nbsp;&nbsp;Back to Dates and Prices</span></a>
    <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
    <h4 class="modal-title" id="enquiryOptionsLabel">Ways to Get in Touch</h4>
  </div>
  <div class="modal-body bgwhite">
    <div class="modal-error"></div>
    <div class="dialogLargeOption enquiryOptionEmail">
      <span class="vertalign"></span>
      <div class="optionContents">
        <span class="roundedicon"><i class="fas fa-fw fa-envelope"></i></span>
        <h4>Email</h4>
      </div>
    </div>
    <div class="dialogLargeOption enquiryOptionCallUs disabled">
      <span class="vertalign"></span>
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        <h4>Call Us</h4>
        <a class="InfinityNumber" href="tel:888-838-8820" rel="nofollow" style="display: none;">888-838-8820</a><span class="openingTimes">We are currently closed.<br>Lines will be open from 9:00am</span>
      </div>
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</form>

<form class="form-horizontal fv-form fv-form-bootstrap" novalidate="novalidate"><button type="submit" class="fv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
  <div class="modal-header text-center">
    <button type="button" class="close" data-dismiss="modal" aria-hidden="true"><i class="fas fa-times">&nbsp;</i></button>
    <h3 id="myModalLabel">FORGOTTEN PASSWORD</h3>
    <p>Please enter your Email Address below to request a password reset link.</p>
  </div>
  <div class="modal-body">
    <div class="modalError"></div>
    <div class="form-group has-feedback">
      <label class="col-sm-4 control-label" for="forgotpass_emailaddress">Email Address</label>
      <div class="col-sm-8">
        <input id="forgotpass_emailaddress" name="emailaddress" class="form-control" tabindex="1" required="" placeholder="" autocomplete="off" type="email"
          data-fv-field="emailaddress"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="emailaddress" style=""></i>
        <small class="help-block" data-fv-validator="notEmpty" data-fv-for="emailaddress" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="emailAddress"
          data-fv-for="emailaddress" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small>
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    </div>
    <div class="form-group">
      <p class="help-block pull-left text-danger hide" id="form-error">&nbsp; The form is not valid. </p>
    </div>
  </div>
  <div class="modal-footer">
    <div class="form-horizontal">
      <div class="form-group">
        <div class="col-sm-4 hidden-xs">
          <p class="form-control-static text-left"><a href="#signIn" role="button" data-dismiss="modal" data-toggle="modal" class="signinLink">Sign In</a></p>
        </div>
        <div class="col-sm-8">
          <button id="forgotPasswordSubmit" type="submit" class="btn btn-primary btn-block">Send Request</button>
        </div>
      </div>
    </div>
  </div>
</form>

<form id="magazineDownloadForm" novalidate="novalidate" class="fv-form fv-form-bootstrap"><button type="submit" class="fv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
  <input type="hidden" class="gaClientID" name="gaClientID" value="0">
  <input type="hidden" class="GA_TRACKING_ID" name="GA_TRACKING_ID" value="UA-12077196-44">
  <div class="modal-header">
    <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
    <h4 class="modal-title" id="magazineDownloadLabel">Magazine Download</h4>
    <p>To download your FREE copy of Discover magazine we just need a few details.</p>
  </div>
  <div class="modal-body">
    <div class="form-group">
      <div class="row">
        <div class="modal-error"></div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12 col-sm-6">
          <input type="text" class="form-control" placeholder="First Name:" id="magazineFirstName" name="magazineFirstName"
            data-fv-field="magazineFirstName"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="magazineFirstName" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="magazineFirstName" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="stringLength"
            data-fv-for="magazineFirstName" data-fv-result="NOT_VALIDATED" style="display: none;">Too short</small>
        </div>
        <div class="col-xs-12 col-sm-6">
          <input type="text" class="form-control" placeholder="Last Name:" id="magazineLastName" name="magazineLastName"
            data-fv-field="magazineLastName"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="magazineLastName" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="magazineLastName" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="stringLength"
            data-fv-for="magazineLastName" data-fv-result="NOT_VALIDATED" style="display: none;">Too short</small>
        </div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input type="email" class="form-control" placeholder="Email Address:" id="magazineEmailAddress" name="magazineEmailAddress"
            data-fv-field="magazineEmailAddress"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="magazineEmailAddress" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="magazineEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="emailAddress"
            data-fv-for="magazineEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small>
        </div>
      </div>
    </div>
    <div class="form-group has-feedback">
      <div class="row">
        <div class="col-xs-12">
          <input type="email" class="form-control" placeholder="Confirm Email Address:" name="magazineConfirmEmailAddress"
            data-fv-field="magazineConfirmEmailAddress"><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="magazineConfirmEmailAddress" style=""></i>
          <small class="help-block" data-fv-validator="notEmpty" data-fv-for="magazineConfirmEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small><small class="help-block" data-fv-validator="identical"
            data-fv-for="magazineConfirmEmailAddress" data-fv-result="NOT_VALIDATED" style="display: none;">Email Addresses do not match</small><small class="help-block" data-fv-validator="emailAddress" data-fv-for="magazineConfirmEmailAddress"
            data-fv-result="NOT_VALIDATED" style="display: none;">Please enter a valid email address</small>
        </div>
      </div>
    </div>
    <div class="form-group">
      <div class="row">
        <div class="col-xs-12">
          <div class="form-group">
            <p> We take your privacy very seriously and won't pass on your contact details to anyone else. </p>
            <div class="mdpWording"></div>
          </div>
        </div>
      </div>
    </div>
    <div class="form-group">
      <input style="display:none !important" tabindex="-1" autocomplete="off" class="form-control" id="magazineMobileNumber" name="magazineMobileNumber" placeholder="Enter your Mobile Number:" type="text">
    </div>
  </div>
  <div class="modal-footer">
    <div class="form-group">
      <div class="col-xs-12">
        <button id="magazineDownloadSubmit" type="submit" class="btn btn-primary btn-block">Continue</button>
      </div>
    </div>
  </div>
</form>

<form class="form-horizontal fv-form fv-form-bootstrap" id="mobileCallbackForm" data-formlabel="Schedule a Call Back" novalidate="novalidate"><button type="submit" class="fv-hidden-submit" style="display: none; width: 0px; height: 0px;"></button>
  <div class="modal-header text-center">
    <a class="close pull-left" aria-label="Close"><span aria-hidden="true"><i class="fas fa-chevron-left"></i>&nbsp;&nbsp;Back</span></a>
    <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
    <h4 class="modal-title" id="myModalLabel">Schedule a Call Back</h4>
  </div>
  <div class="modal-body">
    <div class="modalError"></div>
    <div class="form-group hasdropdown">
      <div class="col-xs-12">
        <div class="mobilecallbackstatuscontainer" data-targetmenu="destinationoptions">
          <div class="status">
            <span class="destinationcounter">Destination(s):</span>
          </div>
        </div>
        <div class="mobilecallbackselectcontainer destinationoptions">
          <fieldset>
            <div class="optionscol">
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Undecided" id="MCBDestinationOption_0" data-parent="">
                <label data-for="MCBDestinationOption_0"><span class="checkbox">Undecided</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Argentina" id="MCBDestinationOption_74" data-parent="">
                <label data-for="MCBDestinationOption_74"><span class="checkbox">Argentina</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Australia" id="MCBDestinationOption_34" data-parent="SMDestinationGroup_5">
                <label data-for="MCBDestinationOption_34"><span class="checkbox">Australia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Austria" id="MCBDestinationOption_49" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_49"><span class="checkbox">Austria</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Belgium" id="MCBDestinationOption_51" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_51"><span class="checkbox">Belgium</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Botswana" id="MCBDestinationOption_77" data-parent="SMDestinationGroup_2">
                <label data-for="MCBDestinationOption_77"><span class="checkbox">Botswana</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Bulgaria" id="MCBDestinationOption_44" data-parent="">
                <label data-for="MCBDestinationOption_44"><span class="checkbox">Bulgaria</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Canada" id="MCBDestinationOption_29" data-parent="SMDestinationGroup_3">
                <label data-for="MCBDestinationOption_29"><span class="checkbox">Canada</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="China" id="MCBDestinationOption_55" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_55"><span class="checkbox">China</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Costa Rica" id="MCBDestinationOption_128" data-parent="SMDestinationGroup_3">
                <label data-for="MCBDestinationOption_128"><span class="checkbox">Costa Rica</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Croatia" id="MCBDestinationOption_76" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_76"><span class="checkbox">Croatia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Cyprus" id="MCBDestinationOption_57" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_57"><span class="checkbox">Cyprus</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Czech Republic" id="MCBDestinationOption_60" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_60"><span class="checkbox">Czech Republic</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Denmark" id="MCBDestinationOption_61" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_61"><span class="checkbox">Denmark</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Egypt" id="MCBDestinationOption_59" data-parent="">
                <label data-for="MCBDestinationOption_59"><span class="checkbox">Egypt</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Finland" id="MCBDestinationOption_69" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_69"><span class="checkbox">Finland</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="France" id="MCBDestinationOption_2" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_2"><span class="checkbox">France</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Germany" id="MCBDestinationOption_26" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_26"><span class="checkbox">Germany</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Greece" id="MCBDestinationOption_58" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_58"><span class="checkbox">Greece</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Hungary" id="MCBDestinationOption_106" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_106"><span class="checkbox">Hungary</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Iceland" id="MCBDestinationOption_108" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_108"><span class="checkbox">Iceland</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="India" id="MCBDestinationOption_43" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_43"><span class="checkbox">India</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Indonesia" id="MCBDestinationOption_87" data-parent="">
                <label data-for="MCBDestinationOption_87"><span class="checkbox">Indonesia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Ireland" id="MCBDestinationOption_31" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_31"><span class="checkbox">Ireland</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Israel" id="MCBDestinationOption_90" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_90"><span class="checkbox">Israel</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Italy" id="MCBDestinationOption_13" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_13"><span class="checkbox">Italy</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Japan" id="MCBDestinationOption_35" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_35"><span class="checkbox">Japan</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Latvia" id="MCBDestinationOption_116" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_116"><span class="checkbox">Latvia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Malaysia" id="MCBDestinationOption_46" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_46"><span class="checkbox">Malaysia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Malta" id="MCBDestinationOption_28" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_28"><span class="checkbox">Malta</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Mekong" id="MCBDestinationOption_109" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_109"><span class="checkbox">Mekong</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Montenegro" id="MCBDestinationOption_217" data-parent="">
                <label data-for="MCBDestinationOption_217"><span class="checkbox">Montenegro</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Morocco" id="MCBDestinationOption_27" data-parent="SMDestinationGroup_2">
                <label data-for="MCBDestinationOption_27"><span class="checkbox">Morocco</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Namibia" id="MCBDestinationOption_135" data-parent="SMDestinationGroup_2">
                <label data-for="MCBDestinationOption_135"><span class="checkbox">Namibia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Nepal" id="MCBDestinationOption_48" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_48"><span class="checkbox">Nepal</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Netherlands" id="MCBDestinationOption_45" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_45"><span class="checkbox">Netherlands</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="New Zealand" id="MCBDestinationOption_37" data-parent="SMDestinationGroup_5">
                <label data-for="MCBDestinationOption_37"><span class="checkbox">New Zealand</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Norway" id="MCBDestinationOption_39" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_39"><span class="checkbox">Norway</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Peru" id="MCBDestinationOption_23" data-parent="SMDestinationGroup_3">
                <label data-for="MCBDestinationOption_23"><span class="checkbox">Peru</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Poland" id="MCBDestinationOption_53" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_53"><span class="checkbox">Poland</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Portugal" id="MCBDestinationOption_41" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_41"><span class="checkbox">Portugal</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Romania" id="MCBDestinationOption_67" data-parent="">
                <label data-for="MCBDestinationOption_67"><span class="checkbox">Romania</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Russia" id="MCBDestinationOption_66" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_66"><span class="checkbox">Russia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Sicily" id="MCBDestinationOption_20" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_20"><span class="checkbox">Sicily</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Slovenia" id="MCBDestinationOption_131" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_131"><span class="checkbox">Slovenia</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="South Africa" id="MCBDestinationOption_21" data-parent="SMDestinationGroup_2">
                <label data-for="MCBDestinationOption_21"><span class="checkbox">South Africa</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Spain" id="MCBDestinationOption_1" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_1"><span class="checkbox">Spain</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Sri Lanka" id="MCBDestinationOption_10" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_10"><span class="checkbox">Sri Lanka</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Sweden" id="MCBDestinationOption_47" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_47"><span class="checkbox">Sweden</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Switzerland" id="MCBDestinationOption_33" data-parent="SMDestinationGroup_1">
                <label data-for="MCBDestinationOption_33"><span class="checkbox">Switzerland</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Turkey" id="MCBDestinationOption_80" data-parent="">
                <label data-for="MCBDestinationOption_80"><span class="checkbox">Turkey</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="United States" id="MCBDestinationOption_36" data-parent="SMDestinationGroup_3">
                <label data-for="MCBDestinationOption_36"><span class="checkbox">United States</span></label>
              </div>
              <div class="customcheckbox">
                <input type="checkbox" name="MobileCallbackDestinationID[]" value="Vietnam" id="MCBDestinationOption_22" data-parent="SMDestinationGroup_4">
                <label data-for="MCBDestinationOption_22"><span class="checkbox">Vietnam</span></label>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
    <div class="form-group hasdropdown has-feedback">
      <div class="col-xs-12">
        <div class="mobilecallbackstatuscontainer" data-targetmenu="titleoptions">
          <div class="status">
            <span class="titlecounter">Title:</span>
          </div>
        </div>
        <div class="mobilecallbackselectcontainer titleoptions">
          <label class="customradio">Mr <input type="radio" name="MobileCallbackTitle" id="mobilecallback_title1a" value="Mr" data-fv-field="MobileCallbackTitle">
            <span class="checkmark"></span>
          </label>
          <label class="customradio">Ms <input type="radio" name="MobileCallbackTitle" id="mobilecallback_title1b" value="Ms" data-fv-field="MobileCallbackTitle">
            <span class="checkmark"></span>
          </label>
          <label class="customradio">Mrs <input type="radio" name="MobileCallbackTitle" id="mobilecallback_title1c" value="Mrs" data-fv-field="MobileCallbackTitle">
            <span class="checkmark"></span>
          </label>
          <label class="customradio">Miss <input type="radio" name="MobileCallbackTitle" id="mobilecallback_title1d" value="Miss" data-fv-field="MobileCallbackTitle">
            <span class="checkmark"></span>
          </label>
          <label class="customradio">Dr <input type="radio" name="MobileCallbackTitle" id="mobilecallback_title1e" value="Dr" data-fv-field="MobileCallbackTitle">
            <span class="checkmark"></span>
          </label>
          <label class="customradio">Rev <input type="radio" name="MobileCallbackTitle" id="mobilecallback_title1f" value="Rev" data-fv-field="MobileCallbackTitle">
            <span class="checkmark"></span>
          </label>
        </div>
        <small class="help-block" data-fv-validator="notEmpty" data-fv-for="MobileCallbackTitle" data-fv-result="NOT_VALIDATED" style="display: none;">This is required</small>
      </div><i class="form-control-feedback fas fa-asterisk" data-fv-icon-for="MobileCallbackTitle" style=""></i>
    </div>
    <div class="form-group has-feedback">
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