testcozy.parkplusintl.com
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https://testcozy.parkplusintl.com/
Submission: On November 26 via api from US — Scanned from DE
Submission: On November 26 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form — POST process.php?action=add
<form class="needs-validation" novalidate="" method="post" action="process.php?action=add" enctype="multipart/form-data" name="form" id="form">
<div data-cue="slideInUp" data-delay="200">
<div class="booking_wrapper" style="background-color:#818EC2;">
<div class="col-12">
<input type="hidden" id="date_from" name="date_from" required="" readonly=""><span class="easepick-wrapper" style="position: relative; pointer-events: none;"></span>
<div class="invalid-feedback">Please select a start date for your booking.</div>
</div>
<div class="col-12">
<input type="hidden" id="date_to" name="date_to" required="">
<div class="invalid-feedback">Please select an end date for your booking.</div>
</div>
<div class="row">
<div class="col-12 col-sm-6">
<div class="custom_select">
<select class="wide" name="guest_room" id="guest_room" required="" style="display: none;">
<option selected="" disabled="" value="">Select Room</option>
<option value="13" data-rate="1999"> Sierra Double Room </option>
<option value="15" data-rate="1999"> Sierra Single Room </option>
<option value="16" data-rate="2999"> Sierra King Size Room </option>
</select>
<div class="nice-select wide" tabindex="0"><span class="current">Select Room</span>
<ul class="list">
<li data-value="" class="option selected disabled">Select Room</li>
<li data-value="13" class="option"> Sierra Double Room </li>
<li data-value="15" class="option"> Sierra Single Room </li>
<li data-value="16" class="option"> Sierra King Size Room </li>
</ul>
</div>
</div>
</div>
<div class="col-12 col-sm-6">
<input type="text" class="qty form-control" placeholder="₱ 0.00" readonly="">
</div>
</div>
<hr>
<div class="row mb-4">
<!-- Image Preview Section (left side) -->
<div class="col-12 col-sm-4 d-flex justify-content-center align-items-center mb-4">
<div id="previewContainer" style="width: 200px; height: 200px; text-align: center;">
<img id="previewImage" src="/img/ID-Cozy.png" alt="No Image" style="width: 100%; height: 100%;background-color:white;object-fit:contain;border-radius:5px;">
</div>
</div>
<!-- File Upload and Email Input Section (right side) -->
<div class="col-12 col-sm-8">
<div class="form-group">
<div class="input-group">
<input type="text" class="form-control" id="fileName" placeholder="Upload a valid ID" readonly="">
<button type="button" class="btn btn-light" style="color:#818EC2;" onclick="document.getElementById('uploadId').click()">
<i class="fas fa-camera" style="font-size:20px;"></i>
</button>
</div>
<input type="file" name="fileImage" id="uploadId" class="d-none" accept="image/*" capture="environment" onchange="displayFileNameAndPreview()">
</div>
<div class="col-12 col-sm-12 mb-2">
<div class="qty-buttons mb-3 version_2">
<input type="text" name="reservation" id="reservation" value="" class="form-control" placeholder="Fullname" required="">
<div class="invalid-feedback">Please provide a reservation name.</div>
</div>
</div>
<div class="col-12 col-sm-12">
<div class="qty-buttons mb-3 version_2">
<input type="email" name="email" id="email" value="" class="form-control" placeholder="Email Address" required="">
<div class="invalid-feedback">Please enter a valid email address.</div>
</div>
</div>
</div>
</div>
</div>
<p class="text-end mt-4">
<button type="submit" class="btn_1 outline" id="book-now-button">
<span id="loading-spinner" class="spinner" style="display:none;"></span>
<span id="button-text">Book Now</span>
</button>
</p>
</div>
</form>Text Content
* * Home * Rooms * About * Contact Cozy Homes SAMPLE Book Now Cozy Homes ROOMS From ₱1999/ nights SIERRA DOUBLE ROOM Read more From ₱1999/ nights SIERRA SINGLE ROOM Read more From ₱2999/ nights SIERRA KING SIZE ROOM Read more View all Rooms Relax & Enjoy Your Stay At Cozy Homes Relax & Enjoy Your Stay At Cozy Homes Relax & Enjoy Your Stay At Cozy Homes Relax & Enjoy Your Stay At Cozy Homes Cozy Homes in the City of Smiles YOUR PERFECT GETAWAY WITH MODERN COMFORTS Welcome to our cozy homes, located in the vibrant heart of the city! This stylishly decorated one-bedroom apartment is perfect for couples or solo travelers looking to explore. The space features a comfortable queen-sized bed, a fully equipped kitchen, and a bright living area with large windows that offer stunning city views. Enjoy the convenience of nearby restaurants, cafes, and shops, all just a short walk away. After a day of exploring, unwind on the private balcony with a cup of coffee or a glass of wine. Book your stay today and experience the best of city living! Serene Mountain Escape with Scenic Views RELAX AND RECHARGE IN NATURE'S EMBRACE Escape to our serene mountain hideaway, nestled in the beautiful woods and surrounded by breathtaking views. This charming two-bedroom cabin offers a peaceful retreat for families or friends seeking a break from the hustle and bustle. With a fully equipped kitchen, cozy fireplace, and spacious deck, you can enjoy quality time together while soaking in the fresh mountain air. Explore nearby hiking trails, go for a scenic drive, or simply relax on the deck as you listen to the sounds of nature. Experience tranquility and rejuvenation in this perfect mountain getaway! Cozy Homes CHECK AVAILABILITY Experience a perfect getaway with our exclusive 3-night minimum stay policy. Please note that our system allows for bookings of exactly 3 nights—ideal for quick escapes or extended weekend plans. Simply select your desired dates, and we’ll handle the rest. Enjoy local attractions, curated services, and a relaxing atmosphere during your stay. Book now to secure your preferred dates and make the most of your 3-night retreat! Contact Number 1+43676787956 Contact Number 2+63978568546 Please select a start date for your booking. Please select an end date for your booking. Select Room Sierra Double Room Sierra Single Room Sierra King Size Room Select Room * Select Room * Sierra Double Room * Sierra Single Room * Sierra King Size Room -------------------------------------------------------------------------------- Please provide a reservation name. Please enter a valid email address. Book Now -------------------------------------------------------------------------------- We're Sorry, Your Process Can't Continue! Please review the following required fields and complete them to proceed: Close -------------------------------------------------------------------------------- Duplicate Booking Attempt You have already made a booking. If you did not receive an email confirmation, please contact us for assistance. We apologize for any inconvenience caused. Contact Number 1+43676787956 Contact Number 2+43676787956 -------------------------------------------------------------------------------- Okay, Got It! -------------------------------------------------------------------------------- Booking Failed Unfortunately, we were unable to process your booking request. Please try again or contact us for further assistance. We apologize for the inconvenience. Contact Number 1+43676787956 Contact Number 2+43676787956 -------------------------------------------------------------------------------- Okay, Try Again -------------------------------------------------------------------------------- Thank you for booking with Cozy Homes! Please check your email to authenticate your booking request. Once you've confirmed the booking, you can disregard the email and wait for our approval. We will notify you at your email once your booking is approved. If you have any questions, feel free to contact us. Okay, Got It! -------------------------------------------------------------------------------- You have successfully confirmed your booking with Cozy Homes! Please check your email periodically for the approval of your booking. Once your booking is approved, you will receive a email notificaiton from us. If you don't receive an approval email after some time, feel free to reach out to our customer support team for assistance. Okay, Got It! CONTACTS * 15th Lacson St, Bacolod, 6100 Negros Occidental Negros Island Region - Philippines * cozyhomesbazket@email.com * +43676787956 * +63978568546 EXPLORE * Home * About Us * Rooms & Suites * Contact © Cozy Homes