booking.book2travel.co.uk Open in urlscan Pro
103.234.187.231  Public Scan

URL: https://booking.book2travel.co.uk/
Submission: On July 18 via api from US — Scanned from DE

Form analysis 7 forms found in the DOM

POST

<form id="bookingFlight" method="post">
  <div class="cancellation">
    <div>
      <div class="mb-2">
        <div class="form-check form-check-inline"><input class="form-check-input" type="radio" name="booking_type" id="flight" value="flight"><label class="form-check-label" for="flight">Flight</label></div>
        <div class="form-check form-check-inline"><input class="form-check-input" type="radio" name="booking_type" id="hotel" value="hotel"><label class="form-check-label" for="hotel">Hotel</label></div>
      </div>
      <div class="booking-status">
        <h3>Enter your Booking Reference number</h3>
      </div>
      <div class="form-group"><input type="text" class="form-control" id="bookingid" placeholder="Eg. ATxxxxxxxxxx"></div>
      <div class="form-group m-0"><input type="text" class="form-control" id="bookemail" placeholder="Enter your email"></div>
      <div>
        <p class="mesg" style="color: green;"></p><button type="submit" class="btn btn-sm cancellation-btn bookingstatus_ mr-2">Check Status</button><button type="button" class="btn btn-sm btn-secondary cancellation-close-btn">Close</button>
      </div>
    </div>
  </div>
</form>

POST

<form id="bookingFlight" method="post">
  <div class="tab-regular">
    <ul class="nav nav-tabs" id="myTab" role="tablist">
      <li class="nav-item"><a class="nav-link active route" id="home-tab" data-toggle="tab" href="#home" role="tab" aria-controls="home" aria-selected="true" route="1"><i class="fas fa-plane"></i> One Way</a></li>
      <li class="nav-item">
        <a class="nav-link route" id="RoundTrip" data-toggle="tab" href="#home" role="tab" aria-controls="home" aria-selected="false" route="2"><img src="https://booking.book2travel.co.uk/images/round-trip.svg" class="img-fluid width20 multicity-image-icon"> Round Trip</a>
      </li>
    </ul>
    <div class="tab-content" id="myTabContent">
      <div class="tab-pane fade show active" id="home" role="tabpanel" aria-labelledby="home-tab">
        <div class="row mytripA">
          <div class="col-md-6 col-sm-6 notMultiCity">
            <div class="form-group"><label>From</label>
              <div class="floating-input "><input type="text" placeholder="Type Source City" name="from_dest" index="1" id="onefrom" data-airport="" class="border-dark w-100 rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial"
                  autocomplete="off" value=""></div>
            </div>
            <div class="swap"><a style="cursor: pointer;"><img loading="lazy" width="30" height="30" src="https://booking.book2travel.co.uk/images/exchange_red.svg" alt="Transfer Exchange" title="Transfer Exchange"></a></div>
          </div>
          <div class="col-md-6 col-sm-6 notMultiCity">
            <div class="form-group"><label>To</label>
              <div class="floating-input "><input type="text" placeholder="Type Destination City" name="to_dest" index="2" id="tofrom" data-airport="" class="border-dark w-100 rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial"
                  autocomplete="off" value=""></div>
            </div>
          </div>
          <div class="col-md-6 col-sm-6 notMultiCity">
            <div class="form-group"><label>Departure</label><input type="text" name="defrom" readonly="" id="defrom" class="border-dark w-100 rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" placeholder="Date of Journey"
                value="19 Jul 2024"></div>
          </div>
          <div class="col-md-6 col-sm-6 notMultiCity">
            <div class="form-group"><label>Return</label><input type="text" name="refrom" id="refrom" readonly="" class="border-dark w-100 rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" placeholder="Return"></div>
          </div>
        </div>
        <div class="row multicity m-0"></div>
        <div class="col-md-12 addSegmentdiv" hidden="">
          <div class="add-m-city"><a class="addSegment"><i class="fas fa-plus-circle"></i></a></div>
        </div>
        <div class="row">
          <div class="col-md-12 col-sm-12">
            <div class="form-group"><label>Travellers</label><input type="text" name="travellers" id="onetra" class="border-dark w-100 rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" placeholder="1 Travellers, Economy" data-toggle="modal"
                data-target="#myModal" readonly=""></div>
          </div>
          <div class="col-md-12">
            <div class="extra-option homepagea"><label class="checkbox-inline"><input type="checkbox" name="DirectFlight" id="DirectFlight" autocomplete="off" value="1"> Direct Flight</label><label class="checkbox-inline"><input type="radio"
                  name="FareTypes" autocomplete="off" value="REGULAR" checked=""> Regular Fares</label><label class="checkbox-inline triggerTools d-none"><input type="radio" name="FareTypes" autocomplete="off" value="STUDENT"> Student
                Fares</label><label class="checkbox-inline d-none"><input type="radio" name="FareTypes" autocomplete="off" value="SENIOR_CITIZEN"> Senior Citizen Fares</label></div>
          </div>
          <div class="col-md-12">
            <div class="d-flex justify-content-end"><button class="btn themeBackground text-white" type="submit">Search Flights<img src="https://booking.book2travel.co.uk/images/flight-search.png" class="img-fluid width20"></button></div>
          </div>
        </div><input type="hidden" name="departure_date" id="departure_date" value="2024-07-19"><input type="hidden" name="return_date" id="return_date"><input type="hidden" name="CountryCode1" id="CountryCode1"><input type="hidden"
          name="CountryCode2" id="CountryCode2"><input type="hidden" name="flightfrom_hidden" id="flightfrom_hidden"><input type="hidden" name="flightto_hidden" id="flightto_hidden">
      </div>
    </div>
  </div>
  <div class="modal" id="myModal">
    <div class="modal-dialog">
      <div class="modal-content">
        <div class="modal-body">
          <div class="tourrs">
            <div class="adults"><label>Adult</label><span>(12+ Years)</span></div>
            <div class="plus-minus">
              <div class="input-group"><span class="input-group-btn"><button type="button" class="btn btn-default btn-number" data-type="minus" data-field="adults" disabled="" style="margin-top: 0px;"><i class="fa fa-minus"></i></button></span><input
                  type="text" name="adults" id="adults" class="form-control input-number" min="1" max="9" value="1" style="padding: 10px; text-align: center;"><span class="input-group-btn"><button type="button" class="btn btn-default btn-number"
                    data-type="plus" data-field="adults" style="margin-top: 0px;"><i class="fa fa-plus"></i></button></span></div>
            </div>
          </div>
          <hr>
          <div class="tourrs">
            <div class="adults"><label>Children</label><span>(2 - 12 yrs)</span></div>
            <div class="plus-minus">
              <div class="input-group"><span class="input-group-btn"><button type="button" class="btn btn-default btn-number" data-type="minus" data-field="childs" disabled="" style="margin-top: 0px;"><i class="fa fa-minus"></i></button></span><input
                  type="text" name="childs" id="childs" class="form-control input-number" min="0" max="9" value="0" style="padding: 10px; text-align: center;"><span class="input-group-btn"><button type="button" class="btn btn-default btn-number"
                    data-type="plus" data-field="childs" style="margin-top: 0px;"><i class="fa fa-plus"></i></button></span></div>
            </div>
          </div>
          <hr>
          <div class="tourrs">
            <div class="adults"><label>Infants</label><span>(Below 2 yrs)</span></div>
            <div class="plus-minus">
              <div class="input-group"><span class="input-group-btn"><button type="button" class="btn btn-default btn-number" data-type="minus" data-field="infants" disabled=""
                    style="margin-top: 0px;"><i class="fa fa-minus"></i></button></span><input type="text" name="infants" id="infants" class="form-control input-number" min="0" max="9" value="0" style="padding: 10px; text-align: center;"><span
                  class="input-group-btn"><button type="button" class="btn btn-default btn-number" data-type="plus" data-field="infants" style="margin-top: 0px;"><i class="fa fa-plus"></i></button></span></div>
            </div>
          </div>
          <hr>
          <div class="book-btns-group book-btn-active">
            <div class="radio"><input class="SelectClass" type="radio" name="flightclass" id="economy11" data="economy11" autocomplete="off" value="2" checked=""><label for="economy11">Economy</label></div>
            <div class="radio"><input class="SelectClass" type="radio" name="flightclass" id="PremiumE" data="PremiumE" autocomplete="off" value="3"><label for="PremiumE">Premium economy</label></div>
            <div class="radio"><input class="SelectClass" type="radio" name="flightclass" id="business11" data="business11" autocomplete="off" value="4"><label for="business11">Business class</label></div>
            <div class="radio"><input class="SelectClass" type="radio" name="flightclass" id="premmiumbusiness11" data="business11" autocomplete="off" value="5"><label for="premmiumbusiness11">Premium Business</label></div>
            <div class="radio"><input class="SelectClass" type="radio" name="flightclass" id="firstclass" data="firstclass" autocomplete="off" value="6"><label for="firstclass">First class</label></div>
          </div>
        </div>
        <div class="modal-footer"><button type="button" class="btn themeBackground text-white applyy">Apply</button></div>
      </div>
    </div>
  </div>
</form>

POST

<form id="bookinghotel" method="post">
  <div class="row">
    <div class="col-md-12 col-sm-12">
      <div class="form-group"><label>Enter City Name</label>
        <div class="floating-input "><input type="text" placeholder="Enter City Name" name="cityname" index="0" id="sea-hotel" class="border-dark w-100 rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" autocomplete="off" value=""></div>
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group"><label>Check In</label><input type="text" name="checkin" class="form-control border-dark rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" id="checkin" placeholder="Check In" value="19 Jul 2024"></div>
    </div>
    <div class="col-sm-6">
      <div class="form-group"><label>Check Out</label><input type="text" name="checkout" class="form-control border-dark rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" id="checkout" placeholder="Check Out" readonly=""></div>
    </div>
    <div class="col-sm-6">
      <div class="form-group"><label>Nationality</label><select class="form-control border-dark rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" id="nation">
          <option value="">Nationality</option>
          <option code="IN" value="106" selected="">India</option>
          <option code="AF" value="97">Afghanistan</option>
          <option code="AL" value="43">Albania</option>
          <option code="DZ" value="142">Algeria</option>
          <option code="AD" value="44">Andorra</option>
          <option code="AO" value="143">Angola</option>
          <option code="AR" value="29">Argentina</option>
          <option code="AM" value="45">Armenia</option>
          <option code="AW" value="231">Aruba</option>
          <option code="AU" value="196">Australia</option>
          <option code="AT" value="46">Austria</option>
          <option code="AZ" value="47">Azerbaijan</option>
          <option code="BS" value="3">Bahamas</option>
          <option code="BH" value="98">Bahrain</option>
          <option code="BD" value="99">Bangladesh</option>
          <option code="BB" value="4">Barbados</option>
          <option code="BY" value="48">Belarus</option>
          <option code="BE" value="49">Belgium</option>
          <option code="BZ" value="5">Belize</option>
          <option code="BJ" value="144">Benin</option>
          <option code="BM" value="6">Bermuda</option>
          <option code="BT" value="100">Bhutan</option>
          <option code="BO" value="30">Bolivia</option>
          <option code="BA" value="50">Bosnia and Herzegovina</option>
          <option code="BW" value="145">Botswana</option>
          <option code="BR" value="31">Brazil</option>
          <option code="VG" value="7">British Virgin Islands</option>
          <option code="BN" value="101">Brunei</option>
          <option code="BG" value="51">Bulgaria</option>
          <option code="BF" value="146">Burkina Faso</option>
          <option code="BI" value="147">Burundi</option>
          <option code="KH" value="102">Cambodia</option>
          <option code="CM" value="148">Cameroon</option>
          <option code="CA" value="2">Canada</option>
          <option code="CV" value="149">Cape Verde</option>
          <option code="KY" value="8">Cayman Islands</option>
          <option code="CF" value="150">Central African Republic</option>
          <option code="TD" value="151">Chad</option>
          <option code="CL" value="32">Chile</option>
          <option code="CN" value="103">China</option>
          <option code="CO" value="33">Colombia</option>
          <option code="KM" value="294">Comoros</option>
          <option code="CR" value="9">Costa Rica</option>
          <option code="HR" value="52">Croatia</option>
          <option code="CU" value="10">Cuba</option>
          <option code="CY" value="53">Cyprus</option>
          <option code="CZ" value="54">Czech Republic</option>
          <option code="CD" value="153">Democratic Republic of the Congo</option>
          <option code="DK" value="55">Denmark</option>
          <option code="DJ" value="154">Djibouti</option>
          <option code="DM" value="11">Dominica</option>
          <option code="DO" value="12">Dominican Republic</option>
          <option code="EC" value="34">Ecuador</option>
          <option code="EG" value="155">Egypt</option>
          <option code="SV" value="13">El Salvador</option>
          <option code="GQ" value="156">Equatorial Guinea</option>
          <option code="ER" value="157">Eritrea</option>
          <option code="EE" value="56">Estonia</option>
          <option code="ET" value="158">Ethiopia</option>
          <option code="FK" value="35">Falkland Islands</option>
          <option code="FJ" value="198">Fiji</option>
          <option code="FI" value="57">Finland</option>
          <option code="FR" value="58">France</option>
          <option code="GF" value="36">French Guiana</option>
          <option code="PF" value="199">French Polynesia</option>
          <option code="GA" value="159">Gabon</option>
          <option code="GM" value="160">Gambia</option>
          <option code="GE" value="59">Georgia</option>
          <option code="DE" value="60">Germany</option>
          <option code="GH" value="161">Ghana</option>
          <option code="GI" value="61">Gibraltar</option>
          <option code="GR" value="62">Greece</option>
          <option code="GL" value="14">Greenland</option>
          <option code="GD" value="15">Grenada</option>
          <option code="GP" value="16">Guadeloupe</option>
          <option code="GU" value="200">Guam</option>
          <option code="GT" value="17">Guatemala</option>
          <option code="GN" value="162">Guinea</option>
          <option code="GW" value="163">Guinea-Bissau</option>
          <option code="GY" value="37">Guyana</option>
          <option code="HT" value="18">Haiti</option>
          <option code="HN" value="19">Honduras</option>
          <option code="HK" value="105">Hong Kong</option>
          <option code="HU" value="64">Hungary</option>
          <option code="IS" value="65">Iceland</option>
          <option code="ID" value="107">Indonesia</option>
          <option code="IR" value="108">Iran</option>
          <option code="IQ" value="109">Iraq</option>
          <option code="IE" value="66">Ireland</option>
          <option code="IM" value="67">Isle of Man</option>
          <option code="IL" value="110">Israel</option>
          <option code="IT" value="68">Italy</option>
          <option code="CI" value="164">Ivory Coast</option>
          <option code="JM" value="20">Jamaica</option>
          <option code="JP" value="111">Japan</option>
          <option code="JE" value="69">Jersey</option>
          <option code="JO" value="112">Jordan</option>
          <option code="KZ" value="113">Kazakhstan</option>
          <option code="KE" value="165">Kenya</option>
          <option code="KI" value="201">Kiribati</option>
          <option code="KW" value="114">Kuwait</option>
          <option code="KG" value="115">Kyrgyzstan</option>
          <option code="LA" value="116">Laos</option>
          <option code="LV" value="71">Latvia</option>
          <option code="LB" value="117">Lebanon</option>
          <option code="LS" value="166">Lesotho</option>
          <option code="LR" value="167">Liberia</option>
          <option code="LY" value="168">Libya</option>
          <option code="LI" value="72">Liechtenstein</option>
          <option code="LT" value="73">Lithuania</option>
          <option code="LU" value="74">Luxembourg</option>
          <option code="MO" value="118">Macau</option>
          <option code="MK" value="75">Macedonia</option>
          <option code="MG" value="169">Madagascar</option>
          <option code="MW" value="170">Malawi</option>
          <option code="MY" value="119">Malaysia</option>
          <option code="MV" value="120">Maldives</option>
          <option code="ML" value="171">Mali</option>
          <option code="MT" value="76">Malta</option>
          <option code="MH" value="202">Marshall Islands</option>
          <option code="MQ" value="21">Martinique</option>
          <option code="MR" value="172">Mauritania</option>
          <option code="MU" value="173">Mauritius</option>
          <option code="MX" value="22">Mexico</option>
          <option code="FM" value="203">Micronesia</option>
          <option code="MD" value="77">Moldova</option>
          <option code="MC" value="78">Monaco</option>
          <option code="MN" value="121">Mongolia</option>
          <option code="ME" value="79">Montenegro</option>
          <option code="MS" value="23">Montserrat</option>
          <option code="MA" value="174">Morocco</option>
          <option code="MZ" value="175">Mozambique</option>
          <option code="NA" value="176">Namibia</option>
          <option code="NP" value="123">Nepal</option>
          <option code="NL" value="80">Netherlands</option>
          <option code="NC" value="205">New Caledonia</option>
          <option code="NZ" value="197">New Zealand</option>
          <option code="NI" value="24">Nicaragua</option>
          <option code="NE" value="177">Niger</option>
          <option code="NG" value="178">Nigeria</option>
          <option code="KP" value="124">North Korea</option>
          <option code="NO" value="81">Norway</option>
          <option code="OM" value="125">Oman</option>
          <option code="PK" value="126">Pakistan</option>
          <option code="PS" value="228">Palestine</option>
          <option code="PA" value="25">Panama</option>
          <option code="PG" value="206">Papua New Guinea</option>
          <option code="PY" value="38">Paraguay</option>
          <option code="PE" value="39">Peru</option>
          <option code="PH" value="127">Philippines</option>
          <option code="PL" value="82">Poland</option>
          <option code="PT" value="83">Portugal</option>
          <option code="PR" value="26">Puerto Rico</option>
          <option code="QA" value="128">Qatar</option>
          <option code="CG" value="152">Republic of the Congo</option>
          <option code="RO" value="84">Romania</option>
          <option code="RU" value="85">Russia</option>
          <option code="RW" value="180">Rwanda</option>
          <option code="WS" value="207">Samoa</option>
          <option code="SM" value="86">San Marino</option>
          <option code="ST" value="181">Sao Tome and Principe</option>
          <option code="SA" value="129">Saudi Arabia</option>
          <option code="SN" value="182">Senegal</option>
          <option code="RS" value="87">Serbia</option>
          <option code="SC" value="183">Seychelles</option>
          <option code="SL" value="184">Sierra Leone</option>
          <option code="SG" value="130">Singapore</option>
          <option code="SK" value="88">Slovakia</option>
          <option code="SI" value="89">Slovenia</option>
          <option code="SB" value="208">Solomon Islands</option>
          <option code="SO" value="185">Somalia</option>
          <option code="ZA" value="186">South Africa</option>
          <option code="KR" value="131">South Korea</option>
          <option code="ES" value="90">Spain</option>
          <option code="LK" value="132">Sri Lanka</option>
          <option code="SD" value="187">Sudan</option>
          <option code="SR" value="40">Suriname</option>
          <option code="SZ" value="188">Swaziland</option>
          <option code="SE" value="91">Sweden</option>
          <option code="CH" value="92">Switzerland</option>
          <option code="SY" value="133">Syria</option>
          <option code="TW" value="134">Taiwan</option>
          <option code="TJ" value="135">Tajikistan</option>
          <option code="TZ" value="189">Tanzania</option>
          <option code="TH" value="136">Thailand</option>
          <option code="TG" value="190">Togo</option>
          <option code="TT" value="27">Trinidad and Tobago</option>
          <option code="TN" value="191">Tunisia</option>
          <option code="TR" value="93">Turkey</option>
          <option code="TM" value="137">Turkmenistan</option>
          <option code="TV" value="210">Tuvalu</option>
          <option code="UG" value="192">Uganda</option>
          <option code="UA" value="94">Ukraine</option>
          <option code="AE" value="138">United Arab Emirates</option>
          <option code="GB" value="95">United Kingdom</option>
          <option code="US" value="1">United States</option>
          <option code="UY" value="41">Uruguay</option>
          <option code="UZ" value="139">Uzbekistan</option>
          <option code="VU" value="211">Vanuatu</option>
          <option code="VE" value="42">Venezuela</option>
          <option code="VN" value="140">Vietnam</option>
          <option code="WF" value="212">Wallis and Futuna</option>
          <option code="EH" value="193">Western Sahara</option>
          <option code="YE" value="141">Yemen</option>
          <option code="ZM" value="194">Zambia</option>
          <option code="ZW" value="195">Zimbabwe</option>
        </select></div>
    </div>
    <div class="col-sm-6">
      <div class="form-group"><label>Rooms &amp; Guest</label><input type="text" name="guest" id="guest" class="form-control border-dark rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" placeholder="1 Rooms &amp; 1 Guest"
          data-toggle="modal" data-target="#myModal2" readonly=""></div>
    </div>
    <div class="col-md-12">
      <div class="d-flex justify-content-end"><button type="submit" class="btn themeBackground text-white">Show Hotels <img src="https://booking.book2travel.co.uk/images/booking.png" class="img-fluid width20"></button></div>
    </div>
  </div><input type="hidden" name="checkin_date" id="checkin_date" value="2024-07-19"><input type="hidden" name="checkout_date" id="checkout_date"><input type="hidden" name="hotel_nationality" id="hotel_nationality"><input type="hidden"
    name="hidden_selected_hotel_TBBCityId" id="hidden_selected_hotel_TBBCityId"><input type="hidden" name="hotel_countryCode" id="hotel_countryCode"><input type="hidden" name="hidden_selected_CountryId" id="hidden_selected_CountryId">
  <div class="modal" id="myModal2">
    <div class="modal-dialog">
      <div class="modal-content">
        <div class="modal-header">
          <h5>Quick select</h5><button type="button" class="btn themeBackground text-white traveller-done">Done</button>
        </div>
        <div class="modal-body">
          <div class="star-rating-selector border-bottom mb-2 pb-2 d-grid align-items-end"><label for="starRating" class="mb-0">Rating :</label>
            <div class="position-relative">
              <div class="selected-rating border-bottom small cursorPointer">3 Star, 4 Star, 5 Star</div>
            </div>
          </div>
          <div id="hotel_rooms"></div><a href="#" class="add-another"><i class="fa fa-plus" aria-hidden="true"></i>Add Another Room</a>
          <div id="myID"></div>
        </div>
      </div>
    </div>
  </div>
</form>

POST

<form id="bookingholiday" method="post">
  <div class="row">
    <div class="col-md-12">
      <div class="form-group"><label>Enter City Name</label>
        <div class="floating-input "><input type="text" placeholder="Where do you want to go?" name="holiday_city" index="0" id="holiday-city" class="w-100 border-dark rounded-0 pl-4 pt-0 pb-1 border-bottom pr-0 height-initial" autocomplete="off"
            value=""></div>
      </div>
    </div>
    <div class="col-md-12">
      <div class="popular-searches">
        <h6>Popular Searches</h6>
        <ul></ul>
      </div>
    </div>
    <div class="col-md-12">
      <div class="d-flex justify-content-end mt-2"><button type="submit" class="btn themeBackground text-white holidays">Search <img src="https://booking.book2travel.co.uk/images/holiday-search.png" class="img-fluid width20"></button></div>
    </div>
  </div>
</form>

POST

<form id="forex" method="post">
  <div class="row">
    <div class="col-md-3 col-sm-4 col-4">
      <div><label class="d-block font-weight-normal mb-1">Salutation</label><select name="salutation" id="salutation" class="d-block w-100">
          <option value="Mr">Mr.</option>
          <option value="Mrs">Mrs.</option>
          <option value="Miss">Miss</option>
        </select></div>
    </div>
    <div class="col-md-5 col-sm-8 col-8">
      <div><label class="d-block font-weight-normal mb-1">First Name</label><input type="text" name="firstName" id="firstName" class="d-block w-100" placeholder="First Name"></div>
    </div>
    <div class="col-md-4">
      <div><label class="d-block font-weight-normal mb-1">Last Name</label><input type="text" name="lastName" id="lastName" class="d-block w-100" placeholder="Last Name"></div>
    </div>
    <div class="col-md-6"><label class="d-block font-weight-normal mb-1">Mobile Number</label>
      <div class="phone-number-field">
        <div class="mobile-code-input border-0 m-0 p-0 PhoneInput">
          <div class="PhoneInputCountry"><select name="countrycodeCountry" aria-label="Phone number country" class="PhoneInputCountrySelect">
              <option value="ZZ">International</option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AC">Ascension Island</option>
              <option value="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CA">Canada</option>
              <option value="CV">Cape Verde</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo, Democratic Republic of the</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Cote d'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands</option>
              <option value="FO">Faroe Islands</option>
              <option value="FM">Federated States of Micronesia</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GG">Guernsey</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="VA">Holy See (Vatican City State)</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="XK">Kosovo</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Laos</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="MD">Moldova</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="KP">North Korea</option>
              <option value="MK">North Macedonia</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestine</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RE">Reunion</option>
              <option value="RO">Romania</option>
              <option value="RU">Russia</option>
              <option value="RW">Rwanda</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="SH">Saint Helena</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="MF">Saint Martin (French Part)</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="RS">Serbia</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SX">Sint Maarten</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia</option>
              <option value="ZA">South Africa</option>
              <option value="KR">South Korea</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SZ">Swaziland</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syria</option>
              <option value="TW">Taiwan</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TA">Tristan da Cunha</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela</option>
              <option value="VN">Vietnam</option>
              <option value="VG">Virgin Islands, British</option>
              <option value="VI">Virgin Islands, U.S.</option>
              <option value="WF">Wallis and Futuna</option>
              <option value="EH">Western Sahara</option>
              <option value="YE">Yemen</option>
              <option value="ZM">Zambia</option>
              <option value="ZW">Zimbabwe</option>
            </select>
            <div aria-hidden="true" class="PhoneInputCountryIcon PhoneInputCountryIcon--border"><img class="PhoneInputCountryIconImg" alt="India" src="https://purecatamphetamine.github.io/country-flag-icons/3x2/IN.svg"></div>
            <div class="PhoneInputCountrySelectArrow"></div>
          </div><input type="tel" autocomplete="tel" id="countrycode" placeholder="phone number" name="countrycode" class="PhoneInputInput" value="+91">
        </div><input type="number" name="mobile" id="mobile" class="d-block w-100" placeholder="Mobile Number">
      </div>
    </div>
    <div class="col-md-6"><label class="d-block font-weight-normal mb-1">E-Mail Address</label><input type="text" name="email" id="email" class="d-block w-100" placeholder="E-Mail Address"></div>
    <div class="col-md-3 col-sm-4 col-4">
      <div><label class="d-block font-weight-normal mb-1">Currency</label><select name="currency" id="currency" class="d-block w-100">
          <option value="INR">INR</option>
          <option value="USD">USD</option>
          <option value="AUD">AUD</option>
          <option value="CNY">CNY</option>
          <option value="GBP">GBP</option>
        </select></div>
    </div>
    <div class="col-md-5 col-sm-8 col-8">
      <div><label class="d-block font-weight-normal mb-1">Amount Required</label><input type="number" name="amountRequired" id="amountRequired" class="d-block w-100" placeholder="Amount Required"></div>
    </div>
    <div class="col-md-4">
      <div><label class="d-block font-weight-normal mb-1">Delivery Type</label><select name="deliveryType" id="deliveryType" class="d-block w-100">
          <option value="homeDelivery">Home Delivery</option>
          <option value="pickup">Pick Up</option>
        </select></div>
    </div>
    <div class="col-12"><label for="docReq" class="font-weight-normal"><input type="checkbox" name="docReq" id="docReq" class="height-initial" value="1">&nbsp;&nbsp;Documents required: Pan Card, Passport Copy, Flight Ticket, Visa Copy</label></div>
    <div class="d-flex justify-content-end col-12"><button class="btn themeBackground text-white border-0" type="submit">Send Enquiry</button></div>
  </div>
</form>

POST

<form method="post">
  <div class="row">
    <div class="col-md-3 col-sm-4 col-4">
      <div><label class="d-block font-weight-normal mb-1">Salutation</label><select name="salutation" id="salutation" class="d-block w-100">
          <option value="Mr">Mr.</option>
          <option value="Mrs">Mrs.</option>
          <option value="Miss">Miss</option>
        </select></div>
    </div>
    <div class="col-md-5 col-sm-8 col-8">
      <div><label class="d-block font-weight-normal mb-1">First Name</label><input type="text" name="firstName" id="firstName" class="d-block w-100" placeholder="First Name"></div>
    </div>
    <div class="col-md-4">
      <div><label class="d-block font-weight-normal mb-1">Last Name</label><input type="text" name="lastName" id="lastName" class="d-block w-100" placeholder="Last Name"></div>
    </div>
    <div class="col-md-6"><label class="d-block font-weight-normal mb-1">Mobile Number</label>
      <div class="phone-number-field">
        <div class="mobile-code-input border-0 m-0 p-0 PhoneInput">
          <div class="PhoneInputCountry"><select name="countrycodeCountry" aria-label="Phone number country" class="PhoneInputCountrySelect">
              <option value="ZZ">International</option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AC">Ascension Island</option>
              <option value="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CA">Canada</option>
              <option value="CV">Cape Verde</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo, Democratic Republic of the</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Cote d'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands</option>
              <option value="FO">Faroe Islands</option>
              <option value="FM">Federated States of Micronesia</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GG">Guernsey</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="VA">Holy See (Vatican City State)</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="XK">Kosovo</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Laos</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="MD">Moldova</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="KP">North Korea</option>
              <option value="MK">North Macedonia</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestine</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RE">Reunion</option>
              <option value="RO">Romania</option>
              <option value="RU">Russia</option>
              <option value="RW">Rwanda</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="SH">Saint Helena</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="MF">Saint Martin (French Part)</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="RS">Serbia</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SX">Sint Maarten</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia</option>
              <option value="ZA">South Africa</option>
              <option value="KR">South Korea</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SZ">Swaziland</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syria</option>
              <option value="TW">Taiwan</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TA">Tristan da Cunha</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela</option>
              <option value="VN">Vietnam</option>
              <option value="VG">Virgin Islands, British</option>
              <option value="VI">Virgin Islands, U.S.</option>
              <option value="WF">Wallis and Futuna</option>
              <option value="EH">Western Sahara</option>
              <option value="YE">Yemen</option>
              <option value="ZM">Zambia</option>
              <option value="ZW">Zimbabwe</option>
            </select>
            <div aria-hidden="true" class="PhoneInputCountryIcon PhoneInputCountryIcon--border"><img class="PhoneInputCountryIconImg" alt="India" src="https://purecatamphetamine.github.io/country-flag-icons/3x2/IN.svg"></div>
            <div class="PhoneInputCountrySelectArrow"></div>
          </div><input type="tel" autocomplete="tel" id="countrycode" placeholder="phone number" name="countrycode" class="PhoneInputInput" value="+91">
        </div><input type="number" name="mobile" id="mobile" class="d-block w-100" placeholder="Mobile Number">
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    <div class="col-md-6"><label class="d-block font-weight-normal mb-1">E-Mail Address</label><input type="text" name="email" id="email" class="d-block w-100" placeholder="E-Mail Address"></div>
    <div class="col-12"><label class="d-block font-weight-normal mb-1">Address</label><textarea name="address" id="address" class="d-block w-100" placeholder="Address"></textarea></div>
    <div class="col-md-4"><label class="d-block font-weight-normal mb-1">No. of Pax</label><input type="number" name="pax" id="pax" class="d-block w-100" placeholder="No. of Pax"></div>
    <div class="col-md-4"><label class="d-block font-weight-normal mb-1">Destination</label><input type="text" name="destination" id="destination" class="d-block w-100" placeholder="Destination"></div>
    <div class="col-md-4"><label class="d-block font-weight-normal mb-1">Travel Date</label><input type="text" name="travelDate" id="travelDate" class="d-block w-100 hasDatepicker" placeholder="Travel Date" autocomplete="off" value=""></div>
    <div class="col-12"><label class="d-block font-weight-normal mb-1">Remarks</label><textarea name="remarks" id="remarks" class="d-block w-100" placeholder="Remarks"></textarea></div>
    <div class="d-flex justify-content-end col-12"><button class="btn themeBackground text-white border-0" type="submit">Send Enquiry</button></div>
  </div>
</form>

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    <div class="col-12">
      <div class="form-group"><label for="departure">Departure</label><input type="text" name="departure" id="bus-departure-date" class="form-control" readonly="" placeholder="Date of Journey"></div>
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</form>

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