forms.zohopublic.com
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136.143.182.97
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URL:
https://forms.zohopublic.com/ahgplus1/form/RivieraSuitesSouthBeach12/formperma/BC4jGQmxSZILFNaMz3PuOwVW4VM2aw9-HcuzWE4q3O0
Submission: On November 23 via api from US — Scanned from DE
Submission: On November 23 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="test" action="">
<div elname="formHeader" class="zfFormHeader formHeaderInside">
<div class="logoPosition">
<div class="hdrLogoImgDiv"><img aria-hidden="true" src=""></div>
<div class="headerCont">
<h2 role="heading" aria-level="1">Riviera Suites South Beach</h2>
</div>
</div>
</div>
<div id="formBodyDiv">
<div id="dummyInputElement" style="display: none;">
<div>
<div>
<div>
<div class="fieldtypeText"><input ui_type="textbox" type="text" tabindex="0"></div>
</div>
</div>
</div>
</div>
<div elname="formBodyULName" class="ulNoStyle fieldsWrapper" page_no="1" needpagedata="true" style="display: block;">
<div elname="livefield-elem" reltype="parent" id="Name-li" fldtype="7" comptype="7" compname="Name" linkname="Name" regex_type="0" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page" showlabel="true"
isvisible="true" seqno="1" counteruid="">
<div class="fieldContainer zf-medium" elname="fieldContainer">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="Name-arialabel">
<span class="fieldLabelTxt ">Name</span>
<em class="important" aria-hidden="true"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText ofIconCont">
<div class="zfNameContainer">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Name1">Required</span>
<div class="nameCompLabelWrapper " elname="eachCompElem"><span elname="compEachElem">
<input aria-labelledby="Name-arialabel aria-showelemslabel-Name1 ariarequired-Name1" aria-describedby="hint-Name error-Name" class="fieldtext" tabindex="0" autocomplete="given-name" type="text" ui_type="textbox" maxlength="255"
name="Name" complink="Name_First" elname="First" value="" onfocusout="ZFLive.validateFieldConstraint(this);" mandatory="true" placeholder="">
<svg class="icon icon-Name" aria-hidden="true">
<use xlink:href="#icon-Name"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label id="aria-showelemslabel-Name1" elname="formSubInfoText" class="formSubInfoText">First</label>
</div>
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Name2">Required</span>
<div class="nameCompLabelWrapper nameFieldSpaceing" elname="eachCompElem"><span elname="compEachElem">
<input aria-labelledby="Name-arialabel aria-showelemslabel-Name2 ariarequired-Name2" aria-describedby="hint-Name error-Name" class="fieldtext" tabindex="0" autocomplete="family-name" type="text" ui_type="textbox" maxlength="255"
name="Name" complink="Name_Last" elname="Last" value="" onfocusout="ZFLive.validateFieldConstraint(this);" mandatory="true" placeholder="">
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label id="aria-showelemslabel-Name2" elname="formSubInfoText" class="formSubInfoText">Last</label>
</div>
</div>
</div>
<div class="clearBoth"></div>
<div class="zfErrorParentDiv">
<div id="error-Name" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="SingleLine-li" fldtype="1" comptype="1" compname="SingleLine" linkname="SingleLine" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
showlabel="true" isvisible="true" seqno="2" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="SingleLine-arialabel">
<span class="fieldLabelTxt ">Company Name</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="fieldtypeText ofIconCont"><input id="SingleLine-arialabel" aria-describedby="hint-SingleLine error-SingleLine" tabindex="0" class="fieldtext" autocomplete="off" type="text" ui_type="textbox" maxlength="255" name="SingleLine"
onfocusout="ZFLive.validateFieldConstraint(this);" value="" placeholder="" onkeyup="ZFLive.configureInputMask(this);">
<svg class="icon icon-SingleLine" aria-hidden="true">
<use xlink:href="#icon-SingleLine"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" style="display:none;"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-SingleLine" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="PhoneNumber-li" fldtype="11" comptype="11" compname="PhoneNumber" linkname="PhoneNumber" needdata="true" mandatory="true" class="fieldWrapper" need_reconf="false" style="" page_no="1"
page_link_name="Page" showlabel="true" isvisible="true" seqno="3" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="PhoneNumber-arialabel">
<span class="fieldLabelTxt ">Phone</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="tempContDiv" elname="phoneFormatElem" phoneformat="INTERNATIONAL">
<div elname="phoneFld" class="fieldtypeText ofIconCont " name="phone-elements"><input aria-labelledby="PhoneNumber-arialabel" aria-describedby="hint-PhoneNumber error-PhoneNumber" tabindex="0" name="PhoneNumber" class="fieldtext"
onfocusout="ZFLive.validateFieldConstraint(this);" onkeydown="setPreviousValForOnInputValidation(this);" oninput="validateValOnInput(this);" autocomplete="tel" id="PhoneNumber" type="text" ui_type="textbox" elname="countrycode"
maxlength="20" value="" initalvalue="" iscodeenabled="false" country_iso_code="" phoneformattype="1" placeholder="">
<svg class="icon icon-Phone" aria-hidden="true">
<use xlink:href="#icon-Phone"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</div>
</div>
<div class="zfErrorParentDiv ">
<div id="error-PhoneNumber" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-PhoneNumber-reconf" elname="reconf-error" class="zfErrorDiv" style="display:none" name="reconfErrDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Email-li" fldtype="9" comptype="9" compname="Email" linkname="Email" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page" showlabel="true"
domain_option="0" need_reconf="false" isvisible="true" seqno="4" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="Email-arialabel">
<span class="fieldLabelTxt ">Email</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="fieldtypeText ofIconCont"><span elname="livefield-email-elem"> <input aria-labelledby="Email-arialabel" aria-describedby="hint-Email error-Email" inputmode="email" class="fieldtext" tabindex="0" autocapitalize="none"
autocomplete="email" type="text" ui_type="textbox" maxlength="255" name="Email" value="" initalvalue="" onfocusout="ZFLive.validateFieldConstraint(this);" placeholder=""><svg class="icon icon-Email" aria-hidden="true">
<use xlink:href="#icon-Email"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span></div>
<div class="zfErrorParentDiv">
<div id="error-Email" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-Email-reconf" elname="reconf-error" class="zfErrorDiv" style="display:none" name="reconfErrDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="SingleLine1-li" fldtype="1" comptype="1" compname="SingleLine1" linkname="SingleLine1" needdata="true" mandatory="false" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
showlabel="true" isvisible="true" seqno="5" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="SingleLine1-arialabel">
<span class="fieldLabelTxt ">Hotel Name</span>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="fieldtypeText ofIconCont"><input id="SingleLine1-arialabel" aria-describedby="hint-SingleLine1 error-SingleLine1" tabindex="0" class="fieldtext" autocomplete="off" type="text" ui_type="textbox" maxlength="255"
name="SingleLine1" onfocusout="ZFLive.validateFieldConstraint(this);" value="Riviera Suites South Beach " placeholder="Riviera Suites South Beach" onkeyup="ZFLive.configureInputMask(this);">
<svg class="icon icon-SingleLine" aria-hidden="true">
<use xlink:href="#icon-SingleLine"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" style="display:none;"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-SingleLine1" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="SingleLine2-li" fldtype="1" comptype="1" compname="SingleLine2" linkname="SingleLine2" needdata="true" mandatory="false" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
showlabel="true" isvisible="true" seqno="6" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="SingleLine2-arialabel">
<span class="fieldLabelTxt ">Promo Code</span>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="fieldtypeText ofIconCont"><input id="SingleLine2-arialabel" aria-describedby="hint-SingleLine2 error-SingleLine2" tabindex="0" class="fieldtext" autocomplete="off" type="text" ui_type="textbox" maxlength="255"
name="SingleLine2" onfocusout="ZFLive.validateFieldConstraint(this);" value="AFA1120" placeholder="AFA1120" onkeyup="ZFLive.configureInputMask(this);">
<svg class="icon icon-SingleLine" aria-hidden="true">
<use xlink:href="#icon-SingleLine"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" style="display:none;"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-SingleLine2" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Date1-li" fldtype="5" comptype="5" compname="Date1" linkname="Date1" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page" showlabel="true"
disableddays="{}" startoftheweek="1" isvisible="true" seqno="7" counteruid="">
<div class="fieldContainer date ">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="Date1-arialabel">
<span class="fieldLabelTxt ">Check-in-date</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText ofIconCont" datelocale="en-GB" elname="dd-M-yy" id="Date1dateDiv" isdisable="false">
<div class="zfDateWrapper">
<input aria-labelledby="Date1-arialabel" aria-describedby="hint-Date1 error-Date1 Date1-subInfoText" aria-haspopup="dialog" class="fieldtext hasDatepicker" tabindex="0" autocomplete="off" type="text" ui_type="textbox" maxlength="255"
name="Date1" elname="date" id="Date1-date" onchange="ZFLive.validateFieldConstraint(this);" onfocusout="checkDatePicker(this);" onclick="ZFUtil.showLiveDatePicker(this)" onfocus="ZFUtil.showLiveDatePicker(this)" value="14-May-2025"
placeholder="">
<div class="calIconWrapper" elname="imgWrapDiv" onclick="childElementInputClick(this);"><span class="icon-calendar"></span><img class="calendarIcon" src="" title="..."></div><svg class="icon icon-Date"
onclick="childElementInputClick(this)" aria-hidden="true">
<use xlink:href="#icon-Date"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
<div class="clearBoth"></div>
</div>
<label class="formSubInfoText" elname="formSubInfoText" id="Date1-subInfoText">dd-MMM-yyyy</label>
</div>
<div class="zfErrorParentDiv">
<div id="error-Date1" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Date-li" fldtype="5" comptype="5" compname="Date" linkname="Date" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page" showlabel="true"
disableddays="{}" startoftheweek="1" isvisible="true" seqno="8" counteruid="">
<div class="fieldContainer date ">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="Date-arialabel">
<span class="fieldLabelTxt ">Check-out-date</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText ofIconCont" datelocale="en-GB" elname="dd-M-yy" id="DatedateDiv" isdisable="false">
<div class="zfDateWrapper">
<input aria-labelledby="Date-arialabel" aria-describedby="hint-Date error-Date Date-subInfoText" aria-haspopup="dialog" class="fieldtext hasDatepicker" tabindex="0" autocomplete="off" type="text" ui_type="textbox" maxlength="255"
name="Date" elname="date" id="Date-date" onchange="ZFLive.validateFieldConstraint(this);" onfocusout="checkDatePicker(this);" onclick="ZFUtil.showLiveDatePicker(this)" onfocus="ZFUtil.showLiveDatePicker(this)" value="15-May-2025"
placeholder="">
<div class="calIconWrapper" elname="imgWrapDiv" onclick="childElementInputClick(this);"><span class="icon-calendar"></span><img class="calendarIcon" src="" title="..."></div><svg class="icon icon-Date"
onclick="childElementInputClick(this)" aria-hidden="true">
<use xlink:href="#icon-Date"></use>
</svg>
<em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
<div class="clearBoth"></div>
</div>
<label class="formSubInfoText" elname="formSubInfoText" id="Date-subInfoText">dd-MMM-yyyy</label>
</div>
<div class="zfErrorParentDiv">
<div id="error-Date" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Dropdown-li" fldtype="12" comptype="12" compname="Dropdown" linkname="Dropdown" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page" showlabel="true"
isvisible="true" seqno="9" counteruid="">
<div class="fieldContainer zf-small " elname="fieldContainer">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="Dropdown-arialabel" id="Dropdown-arialabel-cont">
<span class="fieldLabelTxt ">Number of guests</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="fieldtypeText customDropDown customDropDownof">
<select id="Dropdown-arialabel" aria-describedby="hint-Dropdown error-Dropdown" name="Dropdown" zfs2_cust="true" zfs2_defaultval="-Select-" zfs2_placeholder=""
onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this); ZFLive.checkUniqueChoiceFld(this);" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
<option zfs2_value="zf-select-zf" value="-Select-"></option>
<option value="1" formula_val="" textassign_val="" emailassign_val="">1</option>
<option value="2" formula_val="" textassign_val="" emailassign_val="">2</option>
<option value="3" formula_val="" textassign_val="" emailassign_val="">3</option>
<option value="4" formula_val="" textassign_val="" emailassign_val="">4</option>
<option value="5" formula_val="" textassign_val="" emailassign_val="">5</option>
<option value="6" formula_val="" textassign_val="" emailassign_val="">6</option>
<option value="7" formula_val="" textassign_val="" emailassign_val="">7</option>
<option value="8" formula_val="" textassign_val="" emailassign_val="">8</option>
<option value="9" formula_val="" textassign_val="" emailassign_val="">9</option>
<option value="10" formula_val="" textassign_val="" emailassign_val="">10</option>
<option value="11" formula_val="" textassign_val="" emailassign_val="">11</option>
<option value="12" formula_val="" textassign_val="" emailassign_val="">12</option>
<option value="13" formula_val="" textassign_val="" emailassign_val="">13</option>
<option value="14" formula_val="" textassign_val="" emailassign_val="">14</option>
<option value="15" formula_val="" textassign_val="" emailassign_val="">15</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 37px;"><span class="selection"><span class="select2-selection select2-selection--single select2FormCont oneFldDrpDwnSel2"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-Dropdown-arialabel-container" style="height: 38px;"><span class="select2-selection__rendered"
id="select2-Dropdown-arialabel-container" style="line-height: 37px;"><span class="select2-selection__placeholder">
<div class="select2FormFont"></div>
</span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<div elname="inpCaret" style="display:none;"></div>
<div elname="liveFieldTempChoiceCont" style="display: none;"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-Dropdown" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="MultiLine-li" fldtype="2" comptype="2" compname="MultiLine" linkname="MultiLine" needdata="true" mandatory="false" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
showlabel="true" show_word_count="false" min_range="0" max_range="65535" range_type="1" isvisible="true" seqno="10" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="MultiLine-arialabel">
<span class="fieldLabelTxt ">Guest List Names</span>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText zfmultiLineWrap">
<textarea id="MultiLine-arialabel" aria-describedby="hint-MultiLine countMsg-MultiLine error-MultiLine" tabindex="0" class="fieldtext" onkeyup="ZFLive.countWordOrCharacters(this);" onfocusin="ZFLive.countWordOrCharacters(this);"
onfocusout="ZFLive.hideWordCount(this);ZFLive.validateFieldConstraint(this);" autocomplete="off" name="MultiLine" placeholder=""></textarea>
<span class="focus-border"></span>
<p elname="countmsg" id="countMsg-MultiLine" class="mLineCount" style="display: none;"></p>
</div>
<div class="zfErrorParentDiv">
<div id="error-MultiLine" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Dropdown2-li" fldtype="12" comptype="12" compname="Dropdown2" linkname="Dropdown2" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
showlabel="true" isvisible="true" seqno="11" counteruid="">
<div class="fieldContainer zf-small " elname="fieldContainer">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="Dropdown2-arialabel" id="Dropdown2-arialabel-cont">
<span class="fieldLabelTxt ">Room Type</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont" incwebhk_name="fieldContentDiv">
<div class="fieldtypeText customDropDown customDropDownof">
<select id="Dropdown2-arialabel" aria-describedby="hint-Dropdown2 error-Dropdown2" name="Dropdown2" zfs2_cust="true" zfs2_defaultval="-Select-" zfs2_placeholder=""
onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this); ZFLive.checkUniqueChoiceFld(this);" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
<option zfs2_value="zf-select-zf" value="-Select-"></option>
<option value="Single Room" formula_val="" textassign_val="" emailassign_val="" selected="true">Single Room</option>
<option value="Double Room" formula_val="" textassign_val="" emailassign_val="">Double Room</option>
<option value="Family Room" formula_val="" textassign_val="" emailassign_val="">Family Room</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 104px;"><span class="selection"><span class="select2-selection select2-selection--single select2FormCont oneFldDrpDwnSel2"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-Dropdown2-arialabel-container" style="height: 38px;"><span class="select2-selection__rendered"
id="select2-Dropdown2-arialabel-container" title="Single Room" style="line-height: 37px;"><span class="select2-selection__clear"><em elname="clearInputBtn" class="inputClearDiv"><svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg></em></span>
<div class="select2FormFont">Single Room</div>
</span><span class="select2-selection__arrow" role="presentation" style="display: none;"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<div elname="inpCaret" style="display:none;"></div>
<div elname="liveFieldTempChoiceCont" style="display: none;"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-Dropdown2" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="MultiLine1-li" fldtype="2" comptype="2" compname="MultiLine1" linkname="MultiLine1" needdata="true" mandatory="false" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
showlabel="true" show_word_count="false" min_range="0" max_range="65535" range_type="1" isvisible="true" seqno="12" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv ">
<label class="fieldlabel" for="MultiLine1-arialabel">
<span class="fieldLabelTxt ">Special Request</span>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText zfmultiLineWrap">
<textarea id="MultiLine1-arialabel" aria-describedby="hint-MultiLine1 countMsg-MultiLine1 error-MultiLine1" tabindex="0" class="fieldtext" onkeyup="ZFLive.countWordOrCharacters(this);" onfocusin="ZFLive.countWordOrCharacters(this);"
onfocusout="ZFLive.hideWordCount(this);ZFLive.validateFieldConstraint(this);" autocomplete="off" name="MultiLine1" placeholder=""></textarea>
<span class="focus-border"></span>
<p elname="countmsg" id="countMsg-MultiLine1" class="mLineCount" style="display: none;"></p>
</div>
<div class="zfErrorParentDiv">
<div id="error-MultiLine1" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Address-li" fldtype="8" comptype="8" compname="Address" linkname="Address" needdata="true" mandatory="true" class=" fieldWrapper arrangeAddress addressFld " style="" page_no="1"
page_link_name="Page" showlabel="true" statefldtype="1" isvisible="true" seqno="13" counteruid="">
<div class="fieldContainer zf-large" elname="fieldContainer">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="Address-arialabel">
<span class="fieldLabelTxt ">Billing Address</span>
<em class="important" aria-hidden="true"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText">
<div class="address_row_1">
<div class="compLabelWrapper" elname="eachCompElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address1">Required</span>
<span elname="compEachElem">
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address1 ariarequired-Address1" aria-describedby="hint-Address error-Address" class="fieldtext" tabindex="0" autocomplete="address-line1" type="text" ui_type="textbox"
maxlength="255" name="Address" complink="Address_AddressLine1" onfocusout="ZFLive.validateFieldConstraint(this);" value="" mandatory="true" placeholder=""><em elname="clearInputBtn" class="inputClearDiv"
onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address1">Street Address</label>
</div>
</div>
<div class="address_row_2">
<div class="compLabelWrapper" elname="eachCompElem">
<span elname="compEachElem">
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address2" aria-describedby="hint-Address" class="fieldtext" tabindex="0" autocomplete="address-line2" type="text" ui_type="textbox" maxlength="255" name="Address"
complink="Address_AddressLine2" onfocusout="ZFLive.validateFieldConstraint(this);" value="" mandatory="false" placeholder=""><em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address2">Address Line 2</label>
</div>
</div>
<div class="address_row_3">
<div class="compLabelWrapper" elname="eachCompElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address3">Required</span>
<span elname="compEachElem">
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address3 ariarequired-Address3" aria-describedby="hint-Address error-Address" class="fieldtext" tabindex="0" autocomplete="address-level2" type="text" ui_type="textbox"
maxlength="255" name="Address" complink="Address_City" onfocusout="ZFLive.validateFieldConstraint(this);" value="" mandatory="true" placeholder=""><em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)"
aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address3">City</label>
</div>
<div class="compLabelWrapper" elname="eachCompElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address4">Required</span>
<span elname="compEachElem">
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address4 ariarequired-Address4" aria-describedby="hint-Address error-Address" class="fieldtext" tabindex="0" autocomplete="address-level1" type="text" ui_type="textbox"
maxlength="255" name="Address" complink="Address_Region" onfocusout="ZFLive.validateFieldConstraint(this);" value="" mandatory="true" placeholder=""><em elname="clearInputBtn" class="inputClearDiv" onmousedown="clearInput(this)"
aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address4">State/Region/Province</label>
</div>
</div>
<div class="address_row_4">
<div class="compLabelWrapper" elname="eachCompElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address5">Required</span>
<span elname="compEachElem">
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address5 ariarequired-Address5" aria-describedby="hint-Address error-Address" class="fieldtext" tabindex="0" autocomplete="postal-code" type="text" ui_type="textbox"
maxlength="255" name="Address" complink="Address_ZipCode" onfocusout="ZFLive.validateFieldConstraint(this);" value="" mandatory="true" placeholder=""><em elname="clearInputBtn" class="inputClearDiv"
onmousedown="clearInput(this)" aria-hidden="true">
<svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg>
</em>
<span class="fldDisabledIcn"> <svg class="icon icon-lock">
<use xlink:href="#icon-lock"></use>
</svg> </span><span class="focus-border"></span>
<div elname="inpCaret" class="inputCaretSet"></div>
</span>
<div class="clearBoth"></div><label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address5">Postal / Zip Code</label>
</div>
<span class="customDropDown customDropDownof" elname="compEachElem">
<select aria-labelledby="Address-arialabel aria-showelemslabel-Address6" aria-describedby="hint-Address" tabindex="-1" name="Address" zfs2_cust="true" zfs2_defaultval="-Select-" zfs2_placeholder="" complink="Address_Country"
id="Address_Country" mandatory="false" autocomplete="country" onfocusout="ZFLive.validateFieldConstraint(this);" class="select2-hidden-accessible" aria-hidden="true">
<option zfs2_value="zf-select-zf" value="-Select-"></option>
<option value="Åland Islands" ctrycode="103" lwrvalue="åland islands">Åland Islands</option>
<option value="Afghanistan" ctrycode="101" lwrvalue="afghanistan">Afghanistan</option>
<option value="Akrotiri" ctrycode="102" lwrvalue="akrotiri">Akrotiri</option>
<option value="Albania" ctrycode="104" lwrvalue="albania">Albania</option>
<option value="Algeria" ctrycode="105" lwrvalue="algeria">Algeria</option>
<option value="American Samoa" ctrycode="106" lwrvalue="american samoa">American Samoa</option>
<option value="Andorra" ctrycode="107" lwrvalue="andorra">Andorra</option>
<option value="Angola" ctrycode="108" lwrvalue="angola">Angola</option>
<option value="Anguilla" ctrycode="109" lwrvalue="anguilla">Anguilla</option>
<option value="Antarctica" ctrycode="110" lwrvalue="antarctica">Antarctica</option>
<option value="Antigua and Barbuda" ctrycode="111" lwrvalue="antigua and barbuda">Antigua and Barbuda</option>
<option value="Argentina" ctrycode="112" lwrvalue="argentina">Argentina</option>
<option value="Armenia" ctrycode="113" lwrvalue="armenia">Armenia</option>
<option value="Aruba" ctrycode="114" lwrvalue="aruba">Aruba</option>
<option value="Ashmore and Cartier Islands" ctrycode="115" lwrvalue="ashmore and cartier islands">Ashmore and Cartier Islands</option>
<option value="Australia" ctrycode="116" lwrvalue="australia">Australia</option>
<option value="Austria" ctrycode="117" lwrvalue="austria">Austria</option>
<option value="Azerbaijan" ctrycode="118" lwrvalue="azerbaijan">Azerbaijan</option>
<option value="Bahrain" ctrycode="120" lwrvalue="bahrain">Bahrain</option>
<option value="Bangladesh" ctrycode="121" lwrvalue="bangladesh">Bangladesh</option>
<option value="Barbados" ctrycode="122" lwrvalue="barbados">Barbados</option>
<option value="Bassas Da India" ctrycode="123" lwrvalue="bassas da india">Bassas Da India</option>
<option value="Belarus" ctrycode="124" lwrvalue="belarus">Belarus</option>
<option value="Belgium" ctrycode="125" lwrvalue="belgium">Belgium</option>
<option value="Belize" ctrycode="126" lwrvalue="belize">Belize</option>
<option value="Benin" ctrycode="127" lwrvalue="benin">Benin</option>
<option value="Bermuda" ctrycode="128" lwrvalue="bermuda">Bermuda</option>
<option value="Bhutan" ctrycode="129" lwrvalue="bhutan">Bhutan</option>
<option value="Bolivia" ctrycode="130" lwrvalue="bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina" ctrycode="131" lwrvalue="bosnia and herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana" ctrycode="132" lwrvalue="botswana">Botswana</option>
<option value="Bouvet Island" ctrycode="133" lwrvalue="bouvet island">Bouvet Island</option>
<option value="Brazil" ctrycode="134" lwrvalue="brazil">Brazil</option>
<option value="British Indian Ocean Territory" ctrycode="135" lwrvalue="british indian ocean territory">British Indian Ocean Territory</option>
<option value="British Virgin Islands" ctrycode="136" lwrvalue="british virgin islands">British Virgin Islands</option>
<option value="Brunei" ctrycode="137" lwrvalue="brunei">Brunei</option>
<option value="Bulgaria" ctrycode="138" lwrvalue="bulgaria">Bulgaria</option>
<option value="Burkina Faso" ctrycode="139" lwrvalue="burkina faso">Burkina Faso</option>
<option value="Burma" ctrycode="140" lwrvalue="burma">Burma</option>
<option value="Burundi" ctrycode="141" lwrvalue="burundi">Burundi</option>
<option value="Cambodia" ctrycode="142" lwrvalue="cambodia">Cambodia</option>
<option value="Cameroon" ctrycode="143" lwrvalue="cameroon">Cameroon</option>
<option value="Canada" ctrycode="144" lwrvalue="canada">Canada</option>
<option value="Cape Verde" ctrycode="145" lwrvalue="cape verde">Cape Verde</option>
<option value="Caribbean Netherlands" ctrycode="146" lwrvalue="caribbean netherlands">Caribbean Netherlands</option>
<option value="Cayman Islands" ctrycode="147" lwrvalue="cayman islands">Cayman Islands</option>
<option value="Central African Republic" ctrycode="148" lwrvalue="central african republic">Central African Republic</option>
<option value="Chad" ctrycode="149" lwrvalue="chad">Chad</option>
<option value="Chile" ctrycode="150" lwrvalue="chile">Chile</option>
<option value="China" ctrycode="151" lwrvalue="china">China</option>
<option value="Christmas Island" ctrycode="152" lwrvalue="christmas island">Christmas Island</option>
<option value="Clipperton Island" ctrycode="153" lwrvalue="clipperton island">Clipperton Island</option>
<option value="Cocos (Keeling) Islands" ctrycode="154" lwrvalue="cocos (keeling) islands">Cocos (Keeling) Islands</option>
<option value="Colombia" ctrycode="155" lwrvalue="colombia">Colombia</option>
<option value="Comoros" ctrycode="156" lwrvalue="comoros">Comoros</option>
<option value="Cook Islands" ctrycode="159" lwrvalue="cook islands">Cook Islands</option>
<option value="Coral Sea Islands" ctrycode="160" lwrvalue="coral sea islands">Coral Sea Islands</option>
<option value="Costa Rica" ctrycode="161" lwrvalue="costa rica">Costa Rica</option>
<option value="Cote D'Ivoire" ctrycode="162" lwrvalue="cote d'ivoire">Cote D'Ivoire</option>
<option value="Croatia" ctrycode="163" lwrvalue="croatia">Croatia</option>
<option value="Cuba" ctrycode="164" lwrvalue="cuba">Cuba</option>
<option value="Curaçao" ctrycode="165" lwrvalue="curaçao">Curaçao</option>
<option value="Cyprus" ctrycode="166" lwrvalue="cyprus">Cyprus</option>
<option value="Czech Republic" ctrycode="167" lwrvalue="czech republic">Czech Republic</option>
<option value="Democratic Republic of the Congo" ctrycode="157" lwrvalue="democratic republic of the congo">Democratic Republic of the Congo</option>
<option value="Denmark" ctrycode="168" lwrvalue="denmark">Denmark</option>
<option value="Dhekelia" ctrycode="169" lwrvalue="dhekelia">Dhekelia</option>
<option value="Djibouti" ctrycode="170" lwrvalue="djibouti">Djibouti</option>
<option value="Dominica" ctrycode="171" lwrvalue="dominica">Dominica</option>
<option value="Dominican Republic" ctrycode="172" lwrvalue="dominican republic">Dominican Republic</option>
<option value="Ecuador" ctrycode="173" lwrvalue="ecuador">Ecuador</option>
<option value="Egypt" ctrycode="174" lwrvalue="egypt">Egypt</option>
<option value="El Salvador" ctrycode="175" lwrvalue="el salvador">El Salvador</option>
<option value="Equatorial Guinea" ctrycode="176" lwrvalue="equatorial guinea">Equatorial Guinea</option>
<option value="Eritrea" ctrycode="177" lwrvalue="eritrea">Eritrea</option>
<option value="Estonia" ctrycode="178" lwrvalue="estonia">Estonia</option>
<option value="Ethiopia" ctrycode="179" lwrvalue="ethiopia">Ethiopia</option>
<option value="Europa Island" ctrycode="180" lwrvalue="europa island">Europa Island</option>
<option value="Falkland Islands (Islas Malvinas)" ctrycode="181" lwrvalue="falkland islands (islas malvinas)">Falkland Islands (Islas Malvinas)</option>
<option value="Faroe Islands" ctrycode="182" lwrvalue="faroe islands">Faroe Islands</option>
<option value="Federated States of Micronesia" ctrycode="258" lwrvalue="federated states of micronesia">Federated States of Micronesia</option>
<option value="Fiji" ctrycode="183" lwrvalue="fiji">Fiji</option>
<option value="Finland" ctrycode="184" lwrvalue="finland">Finland</option>
<option value="France" ctrycode="185" lwrvalue="france">France</option>
<option value="French Guiana" ctrycode="186" lwrvalue="french guiana">French Guiana</option>
<option value="French Polynesia" ctrycode="187" lwrvalue="french polynesia">French Polynesia</option>
<option value="French Southern and Antarctic Lands" ctrycode="188" lwrvalue="french southern and antarctic lands">French Southern and Antarctic Lands</option>
<option value="Gabon" ctrycode="189" lwrvalue="gabon">Gabon</option>
<option value="Gaza Strip" ctrycode="191" lwrvalue="gaza strip">Gaza Strip</option>
<option value="Georgia" ctrycode="192" lwrvalue="georgia">Georgia</option>
<option value="Germany" ctrycode="193" lwrvalue="germany">Germany</option>
<option value="Ghana" ctrycode="194" lwrvalue="ghana">Ghana</option>
<option value="Gibraltar" ctrycode="195" lwrvalue="gibraltar">Gibraltar</option>
<option value="Glorioso Islands" ctrycode="196" lwrvalue="glorioso islands">Glorioso Islands</option>
<option value="Greece" ctrycode="197" lwrvalue="greece">Greece</option>
<option value="Greenland" ctrycode="198" lwrvalue="greenland">Greenland</option>
<option value="Grenada" ctrycode="199" lwrvalue="grenada">Grenada</option>
<option value="Guadeloupe" ctrycode="200" lwrvalue="guadeloupe">Guadeloupe</option>
<option value="Guam" ctrycode="201" lwrvalue="guam">Guam</option>
<option value="Guatemala" ctrycode="202" lwrvalue="guatemala">Guatemala</option>
<option value="Guernsey" ctrycode="203" lwrvalue="guernsey">Guernsey</option>
<option value="Guinea" ctrycode="204" lwrvalue="guinea">Guinea</option>
<option value="Guinea-bissau" ctrycode="205" lwrvalue="guinea-bissau">Guinea-bissau</option>
<option value="Guyana" ctrycode="206" lwrvalue="guyana">Guyana</option>
<option value="Haiti" ctrycode="207" lwrvalue="haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands" ctrycode="208" lwrvalue="heard island and mcdonald islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City)" ctrycode="209" lwrvalue="holy see (vatican city)">Holy See (Vatican City)</option>
<option value="Honduras" ctrycode="210" lwrvalue="honduras">Honduras</option>
<option value="Hong Kong" ctrycode="211" lwrvalue="hong kong">Hong Kong</option>
<option value="Hungary" ctrycode="212" lwrvalue="hungary">Hungary</option>
<option value="Iceland" ctrycode="213" lwrvalue="iceland">Iceland</option>
<option value="India" ctrycode="214" lwrvalue="india">India</option>
<option value="Indonesia" ctrycode="215" lwrvalue="indonesia">Indonesia</option>
<option value="Iran" ctrycode="216" lwrvalue="iran">Iran</option>
<option value="Iraq" ctrycode="217" lwrvalue="iraq">Iraq</option>
<option value="Ireland" ctrycode="218" lwrvalue="ireland">Ireland</option>
<option value="Isle of Man" ctrycode="219" lwrvalue="isle of man">Isle of Man</option>
<option value="Israel" ctrycode="220" lwrvalue="israel">Israel</option>
<option value="Italy" ctrycode="221" lwrvalue="italy">Italy</option>
<option value="Jamaica" ctrycode="222" lwrvalue="jamaica">Jamaica</option>
<option value="Jan Mayen" ctrycode="223" lwrvalue="jan mayen">Jan Mayen</option>
<option value="Japan" ctrycode="224" lwrvalue="japan">Japan</option>
<option value="Jersey" ctrycode="225" lwrvalue="jersey">Jersey</option>
<option value="Jordan" ctrycode="226" lwrvalue="jordan">Jordan</option>
<option value="Juan De Nova Island" ctrycode="227" lwrvalue="juan de nova island">Juan De Nova Island</option>
<option value="Kazakhstan" ctrycode="228" lwrvalue="kazakhstan">Kazakhstan</option>
<option value="Kenya" ctrycode="229" lwrvalue="kenya">Kenya</option>
<option value="Kiribati" ctrycode="230" lwrvalue="kiribati">Kiribati</option>
<option value="Kosovo" ctrycode="368" lwrvalue="kosovo">Kosovo</option>
<option value="Kuwait" ctrycode="233" lwrvalue="kuwait">Kuwait</option>
<option value="Kyrgyzstan" ctrycode="234" lwrvalue="kyrgyzstan">Kyrgyzstan</option>
<option value="Laos" ctrycode="235" lwrvalue="laos">Laos</option>
<option value="Latvia" ctrycode="236" lwrvalue="latvia">Latvia</option>
<option value="Lebanon" ctrycode="237" lwrvalue="lebanon">Lebanon</option>
<option value="Lesotho" ctrycode="238" lwrvalue="lesotho">Lesotho</option>
<option value="Liberia" ctrycode="239" lwrvalue="liberia">Liberia</option>
<option value="Libya" ctrycode="240" lwrvalue="libya">Libya</option>
<option value="Liechtenstein" ctrycode="241" lwrvalue="liechtenstein">Liechtenstein</option>
<option value="Lithuania" ctrycode="242" lwrvalue="lithuania">Lithuania</option>
<option value="Luxembourg" ctrycode="243" lwrvalue="luxembourg">Luxembourg</option>
<option value="Macau" ctrycode="244" lwrvalue="macau">Macau</option>
<option value="Macedonia" ctrycode="245" lwrvalue="macedonia">Macedonia</option>
<option value="Madagascar" ctrycode="246" lwrvalue="madagascar">Madagascar</option>
<option value="Malawi" ctrycode="247" lwrvalue="malawi">Malawi</option>
<option value="Malaysia" ctrycode="248" lwrvalue="malaysia">Malaysia</option>
<option value="Maldives" ctrycode="249" lwrvalue="maldives">Maldives</option>
<option value="Mali" ctrycode="250" lwrvalue="mali">Mali</option>
<option value="Malta" ctrycode="251" lwrvalue="malta">Malta</option>
<option value="Marshall Islands" ctrycode="252" lwrvalue="marshall islands">Marshall Islands</option>
<option value="Martinique" ctrycode="253" lwrvalue="martinique">Martinique</option>
<option value="Mauritania" ctrycode="254" lwrvalue="mauritania">Mauritania</option>
<option value="Mauritius" ctrycode="255" lwrvalue="mauritius">Mauritius</option>
<option value="Mayotte" ctrycode="256" lwrvalue="mayotte">Mayotte</option>
<option value="Mexico" ctrycode="257" lwrvalue="mexico">Mexico</option>
<option value="Moldova" ctrycode="259" lwrvalue="moldova">Moldova</option>
<option value="Monaco" ctrycode="260" lwrvalue="monaco">Monaco</option>
<option value="Mongolia" ctrycode="261" lwrvalue="mongolia">Mongolia</option>
<option value="Montenegro" ctrycode="262" lwrvalue="montenegro">Montenegro</option>
<option value="Montserrat" ctrycode="263" lwrvalue="montserrat">Montserrat</option>
<option value="Morocco" ctrycode="264" lwrvalue="morocco">Morocco</option>
<option value="Mozambique" ctrycode="265" lwrvalue="mozambique">Mozambique</option>
<option value="Myanmar" ctrycode="266" lwrvalue="myanmar">Myanmar</option>
<option value="Namibia" ctrycode="267" lwrvalue="namibia">Namibia</option>
<option value="Nauru" ctrycode="268" lwrvalue="nauru">Nauru</option>
<option value="Navassa Island" ctrycode="269" lwrvalue="navassa island">Navassa Island</option>
<option value="Nepal" ctrycode="270" lwrvalue="nepal">Nepal</option>
<option value="Netherlands" ctrycode="271" lwrvalue="netherlands">Netherlands</option>
<option value="Netherlands Antilles" ctrycode="272" lwrvalue="netherlands antilles">Netherlands Antilles</option>
<option value="New Caledonia" ctrycode="273" lwrvalue="new caledonia">New Caledonia</option>
<option value="New Zealand" ctrycode="274" lwrvalue="new zealand">New Zealand</option>
<option value="Nicaragua" ctrycode="275" lwrvalue="nicaragua">Nicaragua</option>
<option value="Niger" ctrycode="276" lwrvalue="niger">Niger</option>
<option value="Nigeria" ctrycode="277" lwrvalue="nigeria">Nigeria</option>
<option value="Niue" ctrycode="278" lwrvalue="niue">Niue</option>
<option value="Norfolk Island" ctrycode="279" lwrvalue="norfolk island">Norfolk Island</option>
<option value="North Korea" ctrycode="231" lwrvalue="north korea">North Korea</option>
<option value="Northern Mariana Islands" ctrycode="280" lwrvalue="northern mariana islands">Northern Mariana Islands</option>
<option value="Norway" ctrycode="281" lwrvalue="norway">Norway</option>
<option value="Oman" ctrycode="282" lwrvalue="oman">Oman</option>
<option value="Pakistan" ctrycode="283" lwrvalue="pakistan">Pakistan</option>
<option value="Palau" ctrycode="284" lwrvalue="palau">Palau</option>
<option value="Palestine" ctrycode="285" lwrvalue="palestine">Palestine</option>
<option value="Panama" ctrycode="286" lwrvalue="panama">Panama</option>
<option value="Papua New Guinea" ctrycode="287" lwrvalue="papua new guinea">Papua New Guinea</option>
<option value="Paracel Islands" ctrycode="288" lwrvalue="paracel islands">Paracel Islands</option>
<option value="Paraguay" ctrycode="289" lwrvalue="paraguay">Paraguay</option>
<option value="Peru" ctrycode="290" lwrvalue="peru">Peru</option>
<option value="Philippines" ctrycode="291" lwrvalue="philippines">Philippines</option>
<option value="Pitcairn Islands" ctrycode="292" lwrvalue="pitcairn islands">Pitcairn Islands</option>
<option value="Poland" ctrycode="293" lwrvalue="poland">Poland</option>
<option value="Portugal" ctrycode="294" lwrvalue="portugal">Portugal</option>
<option value="Puerto Rico" ctrycode="295" lwrvalue="puerto rico">Puerto Rico</option>
<option value="Qatar" ctrycode="296" lwrvalue="qatar">Qatar</option>
<option value="Republic of the Congo" ctrycode="158" lwrvalue="republic of the congo">Republic of the Congo</option>
<option value="Reunion" ctrycode="297" lwrvalue="reunion">Reunion</option>
<option value="Romania" ctrycode="298" lwrvalue="romania">Romania</option>
<option value="Russia" ctrycode="299" lwrvalue="russia">Russia</option>
<option value="Rwanda" ctrycode="300" lwrvalue="rwanda">Rwanda</option>
<option value="Saint Barthélemy" ctrycode="301" lwrvalue="saint barthã©lemy">Saint Barthélemy</option>
<option value="Saint Helena" ctrycode="302" lwrvalue="saint helena">Saint Helena</option>
<option value="Saint Kitts and Nevis" ctrycode="303" lwrvalue="saint kitts and nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia" ctrycode="304" lwrvalue="saint lucia">Saint Lucia</option>
<option value="Saint Martin" ctrycode="305" lwrvalue="saint martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon" ctrycode="306" lwrvalue="saint pierre and miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines" ctrycode="307" lwrvalue="saint vincent and the grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa" ctrycode="308" lwrvalue="samoa">Samoa</option>
<option value="San Marino" ctrycode="309" lwrvalue="san marino">San Marino</option>
<option value="Sao Tome and Principe" ctrycode="310" lwrvalue="sao tome and principe">Sao Tome and Principe</option>
<option value="Saudi Arabia" ctrycode="311" lwrvalue="saudi arabia">Saudi Arabia</option>
<option value="Senegal" ctrycode="312" lwrvalue="senegal">Senegal</option>
<option value="Serbia" ctrycode="313" lwrvalue="serbia">Serbia</option>
<option value="Seychelles" ctrycode="314" lwrvalue="seychelles">Seychelles</option>
<option value="Sierra Leone" ctrycode="315" lwrvalue="sierra leone">Sierra Leone</option>
<option value="Singapore" ctrycode="316" lwrvalue="singapore">Singapore</option>
<option value="Sint Maarten" ctrycode="317" lwrvalue="sint maarten">Sint Maarten</option>
<option value="Slovakia" ctrycode="318" lwrvalue="slovakia">Slovakia</option>
<option value="Slovenia" ctrycode="319" lwrvalue="slovenia">Slovenia</option>
<option value="Solomon Islands" ctrycode="320" lwrvalue="solomon islands">Solomon Islands</option>
<option value="Somalia" ctrycode="321" lwrvalue="somalia">Somalia</option>
<option value="South Africa" ctrycode="322" lwrvalue="south africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands" ctrycode="323" lwrvalue="south georgia and the south sandwich islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea" ctrycode="232" lwrvalue="south korea">South Korea</option>
<option value="South Sudan" ctrycode="324" lwrvalue="south sudan">South Sudan</option>
<option value="Spain" ctrycode="325" lwrvalue="spain">Spain</option>
<option value="Spratly Islands" ctrycode="326" lwrvalue="spratly islands">Spratly Islands</option>
<option value="Sri Lanka" ctrycode="327" lwrvalue="sri lanka">Sri Lanka</option>
<option value="Sudan" ctrycode="328" lwrvalue="sudan">Sudan</option>
<option value="Suriname" ctrycode="329" lwrvalue="suriname">Suriname</option>
<option value="Svalbard" ctrycode="330" lwrvalue="svalbard">Svalbard</option>
<option value="Swaziland" ctrycode="331" lwrvalue="swaziland">Swaziland</option>
<option value="Sweden" ctrycode="332" lwrvalue="sweden">Sweden</option>
<option value="Switzerland" ctrycode="333" lwrvalue="switzerland">Switzerland</option>
<option value="Syria" ctrycode="334" lwrvalue="syria">Syria</option>
<option value="Taiwan" ctrycode="335" lwrvalue="taiwan">Taiwan</option>
<option value="Tajikistan" ctrycode="336" lwrvalue="tajikistan">Tajikistan</option>
<option value="Tanzania" ctrycode="337" lwrvalue="tanzania">Tanzania</option>
<option value="Thailand" ctrycode="338" lwrvalue="thailand">Thailand</option>
<option value="The Bahamas" ctrycode="119" lwrvalue="the bahamas">The Bahamas</option>
<option value="The Gambia" ctrycode="190" lwrvalue="the gambia">The Gambia</option>
<option value="Timor-leste" ctrycode="339" lwrvalue="timor-leste">Timor-leste</option>
<option value="Togo" ctrycode="340" lwrvalue="togo">Togo</option>
<option value="Tokelau" ctrycode="341" lwrvalue="tokelau">Tokelau</option>
<option value="Tonga" ctrycode="342" lwrvalue="tonga">Tonga</option>
<option value="Trinidad and Tobago" ctrycode="343" lwrvalue="trinidad and tobago">Trinidad and Tobago</option>
<option value="Tromelin Island" ctrycode="344" lwrvalue="tromelin island">Tromelin Island</option>
<option value="Tunisia" ctrycode="345" lwrvalue="tunisia">Tunisia</option>
<option value="Turkey" ctrycode="346" lwrvalue="turkey">Turkey</option>
<option value="Turkmenistan" ctrycode="347" lwrvalue="turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands" ctrycode="348" lwrvalue="turks and caicos islands">Turks and Caicos Islands</option>
<option value="Tuvalu" ctrycode="349" lwrvalue="tuvalu">Tuvalu</option>
<option value="Uganda" ctrycode="350" lwrvalue="uganda">Uganda</option>
<option value="Ukraine" ctrycode="351" lwrvalue="ukraine">Ukraine</option>
<option value="United Arab Emirates" ctrycode="352" lwrvalue="united arab emirates">United Arab Emirates</option>
<option value="United Kingdom" ctrycode="353" lwrvalue="united kingdom">United Kingdom</option>
<option value="United States" ctrycode="354" lwrvalue="united states" selected="true">United States</option>
<option value="Uruguay" ctrycode="355" lwrvalue="uruguay">Uruguay</option>
<option value="Uzbekistan" ctrycode="356" lwrvalue="uzbekistan">Uzbekistan</option>
<option value="Vanuatu" ctrycode="357" lwrvalue="vanuatu">Vanuatu</option>
<option value="Venezuela" ctrycode="358" lwrvalue="venezuela">Venezuela</option>
<option value="Vietnam" ctrycode="359" lwrvalue="vietnam">Vietnam</option>
<option value="Virgin Islands" ctrycode="360" lwrvalue="virgin islands">Virgin Islands</option>
<option value="Wake Island" ctrycode="361" lwrvalue="wake island">Wake Island</option>
<option value="Wallis and Futuna" ctrycode="362" lwrvalue="wallis and futuna">Wallis and Futuna</option>
<option value="West Bank" ctrycode="363" lwrvalue="west bank">West Bank</option>
<option value="Western Sahara" ctrycode="364" lwrvalue="western sahara">Western Sahara</option>
<option value="Yemen" ctrycode="365" lwrvalue="yemen">Yemen</option>
<option value="Zambia" ctrycode="366" lwrvalue="zambia">Zambia</option>
<option value="Zimbabwe" ctrycode="367" lwrvalue="zimbabwe">Zimbabwe</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 332px;"><span class="selection"><span class="select2-selection select2-selection--single select2FormCont oneFldDrpDwnSel2"
role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-Address_Country-container" style="height: 38px;"><span class="select2-selection__rendered" id="select2-Address_Country-container"
title="United States" style="line-height: 37px;"><span class="select2-selection__clear"><em elname="clearInputBtn" class="inputClearDiv"><svg class="icon delete_icon">
<use xlink:href="#icon-close"></use>
</svg></em></span>
<div class="select2FormFont">United States</div>
</span><span class="select2-selection__arrow" role="presentation" style="display: none;"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
<div elname="inpCaret" style="display:none;"></div>
<div class="clearBoth"></div><label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address6">Country</label>
</span>
</div>
<div class="clearBoth"></div>
</div>
<div class="zfErrorParentDiv">
<div id="error-Address" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="TermsConditions-li" fldtype="34" comptype="34" compname="TermsConditions" linkname="TermsConditions" needdata="true" mandatory="true" statustext="Agreed" class="fieldWrapper" page_no="1"
page_link_name="Page" showlabel="true" seqno="14" counteruid="">
<div class="fieldContainer termsConditionsCont ">
<div class="zfLabelDiv ">
<label class="fieldlabel" id="TermsConditions-arialabel">
<span class="fieldLabelTxt ">Terms and Conditions</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText">
<div class="termsContainer">
<div id="TermsConditions-arialabel-terms" elname="terms" aria-labelledby="TermsConditions-arialabel TermsConditions-arialabel-terms" role="group" class="termsMsg descFld termScrollRemove">
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255)">
<span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline"
class="font"><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour">By selecting to accept our terms and conditions, booking policy, I acknowledge and verify that I have read this entire page I am authorized to agree to the provisions of the terms and conditions, I am authorized
to sign for the referenced credit card, and I do agree to and accept all provisions of this credit card authorization form. I hereby confirm that all information I have provided about this Contract is true, correct, and
complete, provided herein upon signing of this Contract. I certify that I acknowledge that I will not dispute, as long as there is no breach of the agreed terms. we will be providing you and/or your business with hotel
accommodation reservation and booking services. We commence work on your behalf immediately upon signing this contract, by negotiating, arranging, and confirming your reservations, any balance, including new amounts due
resulting from your changes to your reservation will be charged 20 days prior to the check-in date. whichever occurs first. Failure collection of the balance after the payment deadline date may result in reservations
cancellations and cancellations fees will apply, we will spend our best efforts to contact the client prior to the payment deadline date to ensure securing the reservations.</span></span><br></p>
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255); min-height: 15px">
<br></p>
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255)">
<span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour">Modifications or cancellations can be requested within the 48-hour period, and we will use our best efforts to accomplish those requests, but we do not guarantee that such modifications or cancellations can be
made, or that they can be made at the original contract rate.</span><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline"
class="Apple-converted-space"><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour"> <span class="Apple-converted-space"> </span></span></span><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour">If the reservation is canceled after The due balance is collected, you will be charged a cancellation fee equal to 30 % of your total Contract price. This fee is not a penalty but is liquidated damage to
compensate Expohotelreservation</span><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline"
class="Apple-converted-space"><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour"> <span class="Apple-converted-space"> </span></span></span><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour">for services performed on your behalf and agreed would be difficult to us reserves the right to waive.</span><br></p>
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255); min-height: 15px">
<br></p>
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255)">
<span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour">Payment:</span><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline"
class="Apple-converted-space"><span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour"> </span></span><br></p>
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255); min-height: 15px">
<br></p>
<p
style="font-style: normal; font-variant-caps: normal; font-weight: normal; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; text-decoration: none; margin: 0px; padding: 0px; border: 0px; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Helvetica Neue"; font-size-adjust: none; font-kerning: auto; font-variant-ligatures: normal; font-variant-numeric: normal; font-variant-position: normal; font-feature-settings: normal; vertical-align: baseline; letter-spacing: 0.3px; text-align: left; color: rgb(255, 255, 255)">
<span
style="margin: 0px; padding: 0px; border: 0px; font-style: inherit; font-variant-caps: inherit; font-weight: inherit; font-stretch: inherit; font-size: inherit; line-height: inherit; font-family: inherit; font-size-adjust: inherit; font-kerning: inherit; font-variant-position: inherit; font-feature-settings: inherit; vertical-align: baseline; color: rgb(0, 0, 0)"
class="colour">The due balance will be collected through us 30 days before your check-in date. You will receive a secure payment link to complete your payment. If the due balance isn't received at that time, it may result in
canceling your entire reservation . Please make sure to pay your due balance on your due date.</span><br></p>
<div><br></div>
</div>
<div class="termsAccept customCheckBox"><input aria-labelledby="TermsConditions-arialabel TermsConditions-arialabel-declaration" aria-describedby="error-TermsConditions" tabindex="0" onmousedown="event.preventDefault();"
elname="statusCB" id="TermsConditions-input" class="checkBoxType flLeft" name="TermsConditions" type="checkbox" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);"><label class="cusChoiceLabel"
for="TermsConditions-input"></label>
<div class="descFld" id="TermsConditions-arialabel-declaration">
<div><span class="colour" style="color: rgb(204, 204, 204)">I accept the Terms and Conditions.</span><br></div>
</div>
</div>
</div>
</div>
<div class="zfErrorParentDiv">
<div id="error-TermsConditions" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
<div elname="livefield-elem" reltype="parent" id="Signature-li" fldtype="25" comptype="25" compname="Signature" linkname="Signature" needdata="true" mandatory="true" class="fieldWrapper" style="" page_no="1" page_link_name="Page"
isvisible="true" seqno="15" counteruid="">
<div class="fieldContainer zf-medium ">
<div class="zfLabelDiv"><label class="fieldlabel" id="Signature-arialabel">
<span class="fieldLabelTxt ">Signature</span>
<em class="important" aria-label="Required"> * </em>
</label>
</div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText">
<div class="zfSignContainer " elname="signContainer" id="signContainer-Signature" style="display:block;">
<span class="sr-only" elname="eSignatureSpan" id="Signature-esign">E-Signature Field</span>
<canvas aria-describedby="hint-Signature error-Signature" aria-labelledby="Signature-arialabel Signature-esign" aria-disabled="true" id="drawingCanvas-Signature" tabindex="0" width="510" class="signInnerCont" height="130"></canvas>
<div elname="signArea" class="signArea" id="sign-area-Signature" style="display:none"></div>
<span class="sr-only" elname="eSignatureSpan" id="Signature-clearSign">Clear</span>
<a role="button" aria-labelledby="Signature-clearSign" elname="clearSign" id="clearSign" class="clearSign" href="javascript:void(0);" onclick="clearSignature('drawingCanvas-Signature');"><svg class="icon delete_icon"><use xlink:href="#icon-close"></use></svg></a>
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<div class="zfErrorParentDiv">
<div id="error-Signature" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
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<div elname="livefield-elem" elem_type_int="6" reltype="parent" id="PaymentAmount-li" compname="PaymentAmount" linkname="PaymentAmount" comptype="0" needdata="true" mandatory="true" class="fieldWrapper" page_no="1" page_link_name="Page"
seqno="16" counteruid="">
<div class="paymentContainer fieldContainer">
<div class="zfLabelDiv"><label class="fieldlabel" id="PaymentAmount-arialabel">
<span class="fieldLabelTxt">Required Deposit </span>
<em class="important" aria-label="Required"> * </em>
</label></div>
<div elname="zfFieldDiv" class="zfFieldDiv_cont">
<div class="fieldtypeText">
<div class="zfPayChoiceWrapper">
<div class="merchantTypeWrapper" elname="merchantDiv" paymenttype="1" mandatory="true" role="tablist" onkeyup="ZFLive.handleKeyNavigationForPaymentFocus(this, event);" merchanttype="12">
<a aria-labelledby="PaymentAmount-arialabel PaymentAmount-paymentname-12 PaymentAmount-currtype-12 PaymentAmount-payment-amount-fixed-content PaymentAmount-payment-amount-fixed" role="tab" class="flLeft payTypeDiv squareTypeDiv selected" href="javascript:;" merchanttype="12" onclick="ZFLive.modifyMerchantType(this)" currencycode="202" currencypos="1" amounttype="1" amount="159.00">
<div class="addedImgWrapper" style="position:relative"><div class="imgSelectionDiv"><svg class="icon choiceTick" aria-hidden="true">
<use xlink:href="#icon-tick"></use>
</svg></div><div class="pCentre"><div class=" payLogotxt">
<span id="PaymentAmount-paymentname-12" class="sr-only">Square</span> <span class="sr-only" id="PaymentAmount-currtype-12">USD</span>
<span class="squarelogo" style="background-image: url(https://static.zohocdn.com/forms/images/squareLogo.bbc704c93f22c4c16e2bcd52b5794ed3.png)"></span> </div></div></div></a>
</div>
<div class="clearBoth"></div>
<div class="zfPayDetailContain squareCardContainer" elname="paymentDetailsDiv" style="">
<div class="payRow1 disabledField">
<div class="pmtActionField"><span class="symbolBefore" name="currencysymbol1" elname="currency" aria-hidden="true">$</span>
<span class="sr-only" id="PaymentAmount-payment-amount-fixed-content">Amount to be paid</span>
<input id="PaymentAmount-payment-amount-fixed" tabindex="0" class="flLeft" type="text" ui_type="textbox" name="PaymentAmount" value="159.00" disabled=""><span class="symbol" name="currencysymbol2" elname="currency"
style="display:none;" aria-hidden="true">$</span>
<div class="clearBoth"></div>
</div>
</div>
<div elname="squareMerchantDiv" style="">
<div class=" zfPayDetailCardContain ">
<span tabindex="-1" elname="squareMerchantDivFocusSpan"></span>
<div id="square-card-element" class="square-card-Div"><!-- a Stripe Element will be inserted here. -->
<div id="single-card-wrapper-60be044c-71b0-8be3-0b0c-2d8e88914fd6" class="sq-card-wrapper">
<div class="sq-card-iframe-container" style="height: 97px;"><iframe frameborder="0" height="97px" name="single-card-60be044c-71b0-8be3-0b0c-2d8e88914fd6" scrolling="no"
src="https://web.squarecdn.com/1.63.1/single-card-element-iframe.html" width="100%" class="sq-card-component"></iframe></div><span class="sq-card-message"></span>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="zfErrorParentDiv">
<div id="error-PaymentAmount" elname="error" class="zfErrorDiv" style="display:none" name="errDiv"></div>
</div>
</div>
</div>
</div>
</div>
<div elname="footerWrapper">
<div elname="footer" class="navBtnWrapper zfFooter " page_no="1" page_count="1" page_link_name="Page" counter_page_uid="" style="display: block;">
<div class="navFootBtnWrap"><!-- Prev -->
<!-- Submit -->
<div class="navFootBtnList"><button class="flRight zfbtnSubmit btnElem fmSmtButtom" elname="submit" href="javascript:;">
<em>Submit</em>
</button></div>
</div>
<div class="clearBoth"></div>
</div>
</div>
</div>
</form>Text Content
RIVIERA SUITES SOUTH BEACH Name * Required First Required Last Company Name * Phone * Email * Hotel Name Promo Code Check-in-date * dd-MMM-yyyy Check-out-date * dd-MMM-yyyy Number of guests * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Guest List Names Room Type * Single Room Double Room Family Room Single Room Special Request Billing Address * Required Street Address Address Line 2 Required City Required State/Region/Province Required Postal / Zip Code Åland Islands Afghanistan Akrotiri Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahrain Bangladesh Barbados Bassas Da India Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Caribbean Netherlands Cayman Islands Central African Republic Chad Chile China Christmas Island Clipperton Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Coral Sea Islands Costa Rica Cote D'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo Denmark Dhekelia Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gaza Strip Georgia Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jersey Jordan Juan De Nova Island Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas The Gambia Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank Western Sahara Yemen Zambia Zimbabwe United States Country Terms and Conditions * By selecting to accept our terms and conditions, booking policy, I acknowledge and verify that I have read this entire page I am authorized to agree to the provisions of the terms and conditions, I am authorized to sign for the referenced credit card, and I do agree to and accept all provisions of this credit card authorization form. I hereby confirm that all information I have provided about this Contract is true, correct, and complete, provided herein upon signing of this Contract. I certify that I acknowledge that I will not dispute, as long as there is no breach of the agreed terms. we will be providing you and/or your business with hotel accommodation reservation and booking services. We commence work on your behalf immediately upon signing this contract, by negotiating, arranging, and confirming your reservations, any balance, including new amounts due resulting from your changes to your reservation will be charged 20 days prior to the check-in date. whichever occurs first. Failure collection of the balance after the payment deadline date may result in reservations cancellations and cancellations fees will apply, we will spend our best efforts to contact the client prior to the payment deadline date to ensure securing the reservations. Modifications or cancellations can be requested within the 48-hour period, and we will use our best efforts to accomplish those requests, but we do not guarantee that such modifications or cancellations can be made, or that they can be made at the original contract rate. If the reservation is canceled after The due balance is collected, you will be charged a cancellation fee equal to 30 % of your total Contract price. This fee is not a penalty but is liquidated damage to compensate Expohotelreservation for services performed on your behalf and agreed would be difficult to us reserves the right to waive. Payment: The due balance will be collected through us 30 days before your check-in date. You will receive a secure payment link to complete your payment. If the due balance isn't received at that time, it may result in canceling your entire reservation . Please make sure to pay your due balance on your due date. I accept the Terms and Conditions. Signature * E-Signature Field Clear Required Deposit * Square USD $ Amount to be paid $ Submit Submitting... This file format is not supported by your browser for preview. This file format is not supported by your browser for preview. OK Submission Not Allowed You need to verify your email address to submit form Send Verification Email Sending Email Email Sent OK Redirecting to Merchant Website.. Verifying Credit Card Details... Loading payment widget... Please wait... Cancel Retry Verification mail sent. Single-line Date Name Email Phone