www.catalanoexpodental.com Open in urlscan Pro
185.18.197.22  Public Scan

Submitted URL: https://catalanoexpodental.com/
Effective URL: https://www.catalanoexpodental.com/
Submission: On February 25 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: nex_formPOST https://www.catalanoexpodental.com/wp-admin/admin-ajax.php

<form id="1" class="submit-nex-form nex-forms-1" data-form-id="1" name="nex_form" action="https://www.catalanoexpodental.com/wp-admin/admin-ajax.php" method="post" enctype="multipart/form-data">
  <div class="step_transition_in" style="display:none;">fadeIn</div>
  <div class="step_transition_out" style="display:none;">fadeOut</div><input type="hidden" name="nex_forms_Id" value="1" autocomplete="enabled"><input type="hidden" name="page" value="/" autocomplete="enabled"><input type="hidden" name="ip"
    value="96.9.249.44" autocomplete="enabled"><input type="hidden" name="nf_page_id" value="2" autocomplete="enabled"><input type="hidden" name="nf_page_title" value="Página de ejemplo" autocomplete="enabled"><input type="text" name="company_url"
    value="" placeholder="enter company url" class="form-control req" autocomplete="enabled">
  <div class="form_field hidden pill bootstrap_field" style="" data-id="_84681" id="_84681">
    <input class="ms_current_step" value="1" name="ms_current_step" type="hidden" autocomplete="enabled" id="_84681__ms_current_step">
  </div>
  <div class="grid-system-2 pill bootstrap_field is_grid" style="position: relative; top: 0px; margin-bottom: 30px;" data-id="_52057" id="_52057">
    <div class="row grid_row">
      <div class="grid_input_holder id-_52057 col-sm-12 grid-target-0" data-grid-width="12" data-grid-num="0">
        <div class="field_spacer" style="position: relative; top: 0px;" data-id="_41536" id="_19407">
          <div class="field_spacer" style="height: 30px;"></div>
        </div>
        <div class="form_field all_fields html_image html_image html_fields pill" style="margin-bottom: 15px; position: relative; top: 0px;" data-animation-name="no_animation" data-id="_39134" id="_39134">
          <div class="row">
            <div class="col-sm-12" id="field_container">
              <div class="row">
                <div class="col-sm-12 input_container align_center">
                  <div class="image_container empty" style="display: none;"><span class="far fa-image"></span></div>
                  <div class="the-image-container" style="width: 350px; height: 70px;">
                    <div class="ui-wrapper" style="overflow: hidden; position: static; width: 350px; height: 70px; top: auto; left: auto; margin: 0px;"><img fetchpriority="high" decoding="async"
                        src="https://www.catalanoexpodental.com/wp-content/uploads/2024/02/Catalano-azul-1000px.png" class="html-image-obj ui-resizable" data-original-height="201" data-original-width="1000" alt="" width="1000" height="201"
                        style="margin: 0px; resize: none; position: static; zoom: 1; display: block; height: 70px; width: 350px;"></div>
                  </div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="custom-fields step pill bootstrap_field auto-step nf_multi_step_1 is_grid" data-step-name="2" data-step-num="1" style="position: relative; top: 0px;" data-id="_40548" id="_40548">
    <div class="row">
      <div class="col-sm-12">
        <div class="form_field all_fields image-choices-field selection_fields pill auto-step required wow bounceIn is_arrow for_rule__92286" style="margin-bottom: 0px; position: relative; top: 0px; visibility: visible; animation-name: bounceIn;"
          data-id="_58149" data-animation-name="bounceIn" id="_58149">
          <div id="form_object" class="form_object" style="">
            <div class="row">
              <div class="col-sm-12" id="field_container" style="padding-left: 100px; padding-right: 100px;">
                <div class="row">
                  <div class="input_holder input_container col-sm-12">
                    <div id="the-radios" class="the-radios error_message" data-checked-color="" data-layout="3c" data-checked-class="fa-check" data-unchecked-class="" data-placement="bottom" data-content="Required" title=""
                      data-checked-bg-color="#8fce00">
                      <div class="image-choices-inner row">
                        <div class="input-inner">
                          <div class="image-choices-choice col-sm-4" style="undefined"><label class="radio-inline radio_selected" style="color: #9e9e9e;" for="1__58149_formtype_Forma parte de nuestra empresa_forma_parte_de_nuestra_empresa">
                              <div class="thumb-image-outer-wrap" style="border-radius: 0px;">
                                <div class="prettyradio"><input name="formtype" type="radio" value="Forma parte de nuestra empresa" id="1__58149_formtype_Forma parte de nuestra empresa_forma_parte_de_nuestra_empresa"
                                    style="display: none; font-size: 13px; color: #9e9e9e; background: #ffffffa6; border-color: #dddddd;" autocomplete="enabled"
                                    class="the_input_element align_left required"><a class="checked ui-state-active" style="background: #8fce00; color: #ffffff;" rel="nofollow" href="#">.</a></div>
                                <div class="image-choices-choice-image-wrap" style="border-width: 8px; background-color: #00000000; border-color: #f7f7f7a1; padding: 0px; border-radius: 0px;"><img decoding="async" class="the-thumb-image"
                                    src="http://basixonline.net/development/wp-content/uploads/2020/07/accomodation-2.jpg" alt="Forma parte de nuestra empresa"></div>
                              </div><span class="image-choices-choice-text input-label style_bold" style="color: #002d7b; background-color: #ffffff88; font-size: 13px; border-radius: 0px; border-color: #ce7e00; padding: 12px;">Forma parte de nuestra
                                empresa</span>
                            </label></div>
                          <div class="image-choices-choice col-sm-4" style="undefined"><label class="radio-inline" style="color: #9e9e9e;" for="1__58149_formtype_Proveedor externo_proveedor_externo">
                              <div class="thumb-image-outer-wrap" style="border-radius: 0px;">
                                <div class="prettyradio"><input name="formtype" type="radio" value="Proveedor externo" id="1__58149_formtype_Proveedor externo_proveedor_externo"
                                    style="display: none; font-size: 13px; color: #9e9e9e; background: #ffffffa6; border-color: #dddddd;" autocomplete="enabled"
                                    class="the_input_element align_left required"><a class="ui-state-default" style="background: #ffffff; color: #ffffff;" rel="nofollow" href="#">.</a></div>
                                <div class="image-choices-choice-image-wrap" style="border-width: 8px; background-color: #00000000; border-color: #f7f7f7a1; padding: 0px; border-radius: 0px;"><img decoding="async" class="the-thumb-image"
                                    src="http://basixonline.net/development/wp-content/uploads/2020/07/accomodation-1.jpg" alt="Proveedor externo"></div>
                              </div><span class="image-choices-choice-text input-label style_bold" style="color: #002d7b; background-color: #ffffff88; font-size: 13px; border-radius: 0px; border-color: #ce7e00; padding: 12px;">Proveedor
                                externo</span>
                            </label></div>
                          <div class="image-choices-choice col-sm-4" style="undefined"><label class="radio-inline" style="color: #9e9e9e;" for="1__58149_formtype_Otra consulta_otra_consulta">
                              <div class="thumb-image-outer-wrap" style="border-radius: 0px;">
                                <div class="prettyradio"><input name="formtype" type="radio" value="Otra consulta" id="1__58149_formtype_Otra consulta_otra_consulta"
                                    style="display: none; font-size: 13px; color: #9e9e9e; background: #ffffffa6; border-color: #dddddd;" autocomplete="enabled"
                                    class="the_input_element align_left required"><a class="ui-state-default" style="background: #ffffff; color: #ffffff;" rel="nofollow" href="#">.</a></div>
                                <div class="image-choices-choice-image-wrap" style="border-width: 8px; background-color: #00000000; border-color: #f7f7f7a1; padding: 0px; border-radius: 0px;"><img decoding="async" class="the-thumb-image"
                                    src="http://basixonline.net/development/wp-content/uploads/2020/07/accomodation-3.jpg" alt="Otra consulta"></div>
                              </div><span class="image-choices-choice-text input-label style_bold" style="color: #002d7b; background-color: #ffffff88; font-size: 13px; border-radius: 0px; border-color: #ce7e00; padding: 12px;">Otra consulta</span>
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div><input type="hidden" class="the_value" name="real_val__formtype" value="Forma parte de nuestra empresa">
        </div>
        <div class="grid-system-3 pill wow bounceIn is_grid" id="_27692" style="margin-bottom: 50px; visibility: visible; animation-delay: 1s; animation-name: bounceIn;" data-animation-name="bounceIn" data-wow-delay="1s">
          <div class="row  grid_row">
            <div class="grid_input_holder id-_27692 col-lg-2 grid-target-0" data-grid-width="2" data-grid-num="0">
              <div class="panel-default">
                <div class="panel-body"></div>
              </div>
            </div>
            <div class="grid_input_holder id-_27692 col-lg-8 grid-target-1" data-grid-width="8" data-grid-num="1">
              <div class="field_spacer" style="" id="_3310">
                <div class="field_spacer" style="height: 20px;"></div>
              </div>
              <div class="form_field all_fields html html html_fields pill" style="margin-bottom: 15px;" id="_93434">
                <div class="row">
                  <div class="col-sm-12" id="field_container">
                    <div class="row">
                      <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_93434__math_result">
                        <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">
                          <center>
                            <a id="65db4bec34c99" rel="wp-video-lightbox" href="https://www.youtube.com/watch?v=G7z74BvLWUg&amp;width=900&amp;height=580" title=""><img decoding="async" src="https://www.catalanoexpodental.com/wp-content/uploads/2024/02/635ab30770f46750f0ccab27_edificio-1300x860-2-e1708715592302.jpg" class="video_lightbox_anchor_image" alt=""></a>
                            <script>
                              /* <![CDATA[ */
                              jQuery(document).ready(function($) {
                                $(function() {
                                  var width = $(window).innerWidth();
                                  var setwidth = parseFloat(900);
                                  var ratio = parseFloat(0.64444444444444);
                                  var height = parseFloat(580);
                                  var link = 'https://www.youtube.com/watch?v=G7z74BvLWUg&amp;width=900&amp;height=580';
                                  if (width < setwidth) {
                                    height = Math.floor(width * 0.64444444444444);
                                    //console.log("device width "+width+", set width "+900+", ratio "+0.64444444444444+", new height "+ height);
                                    var new_url = wpvl_paramReplace('width', link, width);
                                    var new_url = wpvl_paramReplace('height', new_url, height);
                                    $("a#65db4bec34c99").attr('href', new_url);
                                    //console.log(new_url);
                                  }
                                });
                              });
                              /* ]]&gt; */
                            </script><br>
                          </center>
                        </div>
                        <div style="clear:both;"></div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div class="grid_input_holder id-_27692 col-lg-2 grid-target-2" data-grid-width="2" data-grid-num="2">
              <div class="panel-default">
                <div class="panel-body"></div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="custom-fields step has_prefix_icon pill bootstrap_field nf_multi_step_2 is_grid" data-step-name="1" data-step-num="2" style="position: relative; left: 0px; top: 0px; display: none;" data-id="_70898" id="_70898">
    <div class="row">
      <div class="col-sm-12">
        <div class="grid-system-3 has_prefix_icon pill bootstrap_field is_grid" style="position: relative; top: 0px; left: 0px;" data-id="_83478" id="_83478">
          <div class="row  grid_row">
            <div class="grid_input_holder id-_83478 col-sm-2 grid-target-0" data-grid-width="2" data-grid-num="0">
              <div class="panel-default">
                <div class="panel-body" style=""></div>
              </div>
            </div>
            <div class="grid_input_holder id-_83478 col-sm-8 grid-target-1" data-grid-width="8" data-grid-num="1">
              <div class="form_field all_fields name preset_fields required has_prefix_icon pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-animation-name="no_animation" data-id="_33151" id="_33151">
                <div class="row">
                  <div class="col-sm-12" id="field_container">
                    <div class="row">
                      <div class="col-sm-12  input_container">
                        <div class="input-group"><span class="input-group-addon prefix" style="background: #ffffffc2; color: #40c4ff; border-color: #ffffff;"><span class="fa fa-user" style="font-size: 17px;"></span></span><input type="text"
                            name="_name" class="error_message required  form-control the_input_element  aling_left" data-onfocus-color="#66AFE9" data-drop-focus-swadow="1" data-placement="bottom" data-content="Required" title=""
                            data-secondary-message="" style="color: #555555; background: #ffffffa5; font-size: 13px; border-color: #ffffff94;" placeholder="Name" autocomplete="enabled" id="_33151___name"></div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <div class="form_field all_fields email email preset_fields required has_prefix_icon pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-animation-name="no_animation" data-id="_64375"
                id="_64375">
                <div class="row">
                  <div class="col-sm-12" id="field_container">
                    <div class="row">
                      <div class="col-sm-12  input_container">
                        <div class="input-group"><span class="input-group-addon prefix" style="background: #ffffffc2; color: #40c4ff; border-color: #ffffff;"><span class="fa fa-envelope" style="font-size: 17px;"></span></span><input type="text"
                            name="email" class="error_message required email form-control the_input_element  aling_left" data-onfocus-color="#66AFE9" data-drop-focus-swadow="1" data-placement="bottom" data-content="Required" title=""
                            data-secondary-message="Invalid email address" style="color: #555555; background: #ffffffa5; font-size: 13px; border-color: #ffffff94;" placeholder="Email" autocomplete="enabled" id="_64375__email"></div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <div class="form_field all_fields phone_number phone_number preset_fields required has_prefix_icon pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-animation-name="no_animation"
                data-id="_63777" id="_63777">
                <div class="row">
                  <div class="col-sm-12" id="field_container">
                    <div class="row">
                      <div class="col-sm-12  input_container">
                        <div class="input-group"><span class="input-group-addon prefix" style="background: #ffffffc2; color: #40c4ff; border-color: #ffffff;"><span class="fa fa-phone" style="font-size: 17px;"></span></span><input type="text"
                            name="phone_number" class="error_message required phone_number form-control the_input_element  aling_left" data-onfocus-color="#66AFE9" data-drop-focus-swadow="1" data-placement="bottom" data-content="Required" title=""
                            data-secondary-message="Invalid phone number" style="color: #555555; background: #ffffffa5; font-size: 13px; border-color: #ffffff94;" placeholder="Contact Number" autocomplete="enabled" id="_63777__phone_number"></div>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
              <div class="form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px; margin-top: 0px;"
                data-id="_1461" id="_1461">
                <div class="row">
                  <div class="col-sm-12" id="field_container" style="padding-top: 30px;">
                    <div class="row">
                      <div class="col-sm-12 input_container align_right">
                        <button class="svg_ready the_input_element btn btn-default nex-step col-sm-12" style="border-color: #ffda5f; background-color: #ffda5f; color: #555555;">Next</button>
                      </div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
            <div class="grid_input_holder id-_83478 col-sm-2 grid-target-2" data-grid-width="2" data-grid-num="2">
              <div class="panel-default">
                <div class="panel-body" style=""></div>
              </div>
            </div>
          </div>
        </div>
        <div class="form_field all_fields html html html_fields pill" style="margin-bottom: 15px;" data-id="_47851" id="_47851">
          <div class="row">
            <div class="col-sm-12" id="field_container">
              <div class="row">
                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_47851__math_result">
                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">Add Text or HTML</div>
                  <div style="clear:both;"></div>
                </div>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="custom-fields step pill bootstrap_field nf_multi_step_3 is_grid last_step" data-step-name="Step 4" data-step-num="3" style="display: none;" data-id="_39686" id="_39686">
    <div class="row">
      <div class="col-sm-12">
        <div class="other-elements is_panel pill bootstrap_field is_grid" style="position: relative; top: 0px; left: 0px;" data-id="_58559" id="_58559">
          <div class="row">
            <div class="input_holder col-sm-12">
              <div class="panel panel-default " style="border-color: #dddddd00;">
                <div class="panel-heading hidden" style="background-color: #f5f5f5;">Panel Heading</div>
                <div class="panel-body the-panel-body" style="background-color: #ffffffcb;">
                  <div class="grid-system-2 pill bootstrap_field is_grid" style="position: relative; top: 0px; left: 0px;" data-id="_20247" id="_20247">
                    <div class="row grid_row">
                      <div class="grid_input_holder id-_20247 col-sm-6 grid-target-0" data-grid-width="6" data-grid-num="0">
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_52395" id="_52395">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_52395__math_result">
                                  <div class="the_input_element style_bold" data-math-equation="" data-original-math-equation="" data-decimal-places="0" style="font-size: 15px;">Personal Info</div>
                                  <div style="clear:both;"></div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                      <div class="grid_input_holder id-_20247 col-sm-6 grid-target-1" data-grid-width="6" data-grid-num="1">
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_8525" id="_8525">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_8525__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">{{_name}}</div>
                                  <div style="clear:both;"></div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_1240" id="_1240">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_1240__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">{{email}}</div>
                                  <div style="clear:both;"></div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_49271" id="_49271">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_49271__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">{{phone_number}}</div>
                                  <div style="clear:both;"></div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div class="form_field all_fields divider html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px; margin-left: -15px; margin-right: -15px;" data-id="_91276" id="_91276">
                    <div class="row">
                      <div class="col-sm-12" id="field_container" style="padding-left: 16px;">
                        <div class="row">
                          <div class="col-sm-12 input_container">
                            <hr class="the_input_element" style="border-width: 1px; border-color: #ffffff;">
                          </div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div class="grid-system-2 pill bootstrap_field is_grid" style="position: relative; top: 0px; left: 0px;" data-id="_95780" id="_95780">
                    <div class="row grid_row">
                      <div class="grid_input_holder id-_95780 col-sm-6 grid-target-0" data-grid-width="6" data-grid-num="0">
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_98632" id="_98632">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_98632__math_result">
                                  <div class="the_input_element style_bold" data-math-equation="" data-original-math-equation="" data-decimal-places="0" style="font-size: 15px;">Your Stay</div>
                                  <div style="clear:both;"></div>
                                </div>
                              </div>
                            </div>
                          </div>
                        </div>
                      </div>
                      <div class="grid_input_holder id-_95780 col-sm-6 grid-target-1" data-grid-width="6" data-grid-num="1">
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_44438" id="_44438">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_44438__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0"><strong>{{resort}}</strong> – {{num_of_nights}} Nights</div>
                                  <div style="clear:both;"></div>
                                </div>
                              </div>
                            </div>
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                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">From: {{check_in}}</div>
                                  <div style="clear:both;"></div>
                                </div>
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                          </div>
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                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_70407" id="_70407">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_70407__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">Until: {{check_out}}</div>
                                  <div style="clear:both;"></div>
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                      <div class="col-sm-12" id="field_container">
                        <div class="row">
                          <div class="col-sm-12 input_container">
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                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_46605__math_result">
                                  <div class="the_input_element style_bold" data-math-equation="" data-original-math-equation="" data-decimal-places="0" style="font-size: 15px;">Guests</div>
                                  <div style="clear:both;"></div>
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                      <div class="grid_input_holder id-_98252 col-sm-6 grid-target-1" data-grid-width="6" data-grid-num="1">
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_97018" id="_97018">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_97018__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0"><strong>{{adults}}</strong> Adults</div>
                                  <div style="clear:both;"></div>
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                            </div>
                          </div>
                        </div>
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_26856" id="_26856">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_26856__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0"><strong>{{children}}</strong> Children</div>
                                  <div style="clear:both;"></div>
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                            </div>
                          </div>
                        </div>
                        <div class="form_field all_fields paragraph html_fields pill bootstrap_field" style="position: relative; top: 0px; left: 0px; margin-bottom: 15px;" data-id="_92116" id="_92116">
                          <div class="row">
                            <div class="col-sm-12" id="field_container">
                              <div class="row">
                                <div class="col-sm-12 input_container"><input type="hidden" class="set_math_result" value="0" name="math_result" autocomplete="enabled" id="_92116__math_result">
                                  <div class="the_input_element" data-math-equation="" data-original-math-equation="" data-decimal-places="0">in <strong>{{rooms}}</strong> Rooms</div>
                                  <div style="clear:both;"></div>
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                              </div>
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                    <div class="row">
                      <div class="col-sm-12 input_container align_right">
                        <button class="svg_ready the_input_element btn btn-default col-sm-12 prev-step" style="border-color: #ffda5f; background-color: #ffda5f; color: #555555;">Go Back</button>
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            <div class="grid_input_holder id-_50754 col-xs-6 grid-target-1" data-grid-width="6" data-grid-num="1">
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                        <button class="svg_ready the_input_element btn btn-default col-sm-12 nex-submit" style="border-color: #607d8b; background-color: #607d8b; color: #ffffff;">Book Now</button>
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Panel Heading
Personal Info

{{_name}}

{{email}}

{{phone_number}}


--------------------------------------------------------------------------------

Your Stay

{{resort}} – {{num_of_nights}} Nights

From: {{check_in}}

Until: {{check_out}}


--------------------------------------------------------------------------------

Guests

{{adults}} Adults

{{children}} Children

in {{rooms}} Rooms

Go Back
Book Now