www.charlestoncvb.com Open in urlscan Pro
2606:4700:10::6816:cab  Public Scan

Submitted URL: http://charlestoncvb.com/
Effective URL: https://www.charlestoncvb.com/
Submission Tags: tranco_l324
Submission: On November 10 via api from DE — Scanned from DE

Form analysis 5 forms found in the DOM

/plan-your-trip/lodging~123/

<form class="search-box__inner" action="/plan-your-trip/lodging~123/" data-date-range="">
  <div class="search-box__col">
    <label class="search-box__label"> Check In <input class="search-box__input hasDatepicker" placeholder="Select a Date" data-startdate="" name="startdate" type="text" value="" required="" readonly="" id="dp1636509858085">
    </label>
  </div>
  <div class="search-box__col">
    <label class="search-box__label"> Check Out <input class="search-box__input hasDatepicker" placeholder="Select a Date" data-enddate="" name="enddate" type="text" value="" required="" readonly="" id="dp1636509858084">
    </label>
  </div>
  <div class="search-box__col">
    <label class="search-box__label"> Type <select id="lodging-type" class="search-box__select">
        <option value="/plan-your-trip/lodging~123/">All Lodging</option>
        <option value="/plan-your-trip/lodging~123/beach-resorts~622/">Beach Resorts</option>
        <option value="/plan-your-trip/lodging~123/bed-breakfasts~615/">Bed &amp; Breakfasts</option>
        <option value="/plan-your-trip/lodging~123/cottages~1080/">Cottages</option>
        <option value="/plan-your-trip/lodging~123/extended-stay~1079/">Extended Stay</option>
        <option value="/plan-your-trip/lodging~123/historic-inns~614/">Historic Inns</option>
        <option value="/plan-your-trip/lodging~123/hotels~847/">Hotels</option>
        <option value="/plan-your-trip/lodging~123/vacation-rentals~846/">Vacation Rentals</option>
      </select>
    </label>
  </div>
  <div class="search-box__action">
    <button type="submit" class="button button--large button--arrow">Find Lodging Rates</button>
  </div>
</form>

POST https://charleston.simpleviewcrm.com/webapi/forms/sendform.cfm

<form class="visitor-guide" action="https://charleston.simpleviewcrm.com/webapi/forms/sendform.cfm" method="POST">
  <input type="hidden" name="groupid" value="5">
  <input type="hidden" name="formid" value="2">
  <input type="hidden" name="savefrm" value="Submit">
  <input type="hidden" name="code_key" value="rO0ABXQABDhjd3I=">
  <input type="hidden" name="code" value="skip">
  <div class="visitor-guide__box">
    <div id="guide-step-1" class="visitor-guide__step current">
      <div class="visitor-guide__beside">
        <div class="visitor-guide__img">
          <img src="/assets/images/visitors-guide.jpg">
        </div>
        <div>
          <div class="visitor-guide__intro">
            <div>
              <h3>Where should we send your visitor guide?</h3>
              <p><sup>*</sup>We will not sell or give away your personal information. Your privacy matters to us.</p>
            </div>
          </div>
          <div class="visitor-guide__half">
            <div class="text-field">
              <label for="contact_fname">First Name</label>
              <input type="text" name="contact_fname" id="contact_fname" required="" data-parsley-group="block-0">
            </div>
            <div class="text-field">
              <label for="contact_lname">Last Name</label>
              <input type="text" name="contact_lname" id="contact_lname" required="" data-parsley-group="block-0">
            </div>
          </div>
          <div class="text-field">
            <label for="contact_addr1">Address</label>
            <input type="text" name="contact_addr1" id="contact_addr1" required="" data-parsley-group="block-0">
          </div>
          <div class="visitor-guide__quad">
            <div class="text-field focus">
              <label for="contact_country">Country</label>
              <div class="select-field">
                <select id="contact_country" name="contact_country" onchange="countryChanged(this);" required="" data-parsley-group="block-0">
                  <option value="UNITED STATES" title="UNITED STATES" selected="">United States</option>
                  <option value="CANADA" title="CANADA">Canada</option>
                  <option value="MEXICO" title="MEXICO">Mexico</option>
                  <option value="AFGHANISTAN" title="AFGHANISTAN">Afghanistan</option>
                  <option value="ÅLAND ISLANDS" title="ÅLAND ISLANDS">Åland Islands</option>
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                  <option value="ALGERIA" title="ALGERIA">Algeria</option>
                  <option value="AMERICAN SAMOA" title="AMERICAN SAMOA">American Samoa</option>
                  <option value="ANDORRA" title="ANDORRA">Andorra</option>
                  <option value="ANGOLA" title="ANGOLA">Angola</option>
                  <option value="ANGUILLA" title="ANGUILLA">Anguilla</option>
                  <option value="ANTARCTICA" title="ANTARCTICA">Antarctica</option>
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                  <option value="AUSTRIA" title="AUSTRIA">Austria</option>
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                  <option value="BELGIUM" title="BELGIUM">Belgium</option>
                  <option value="BELIZE" title="BELIZE">Belize</option>
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                  <option value="BERMUDA" title="BERMUDA">Bermuda</option>
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                  <option value="BOTSWANA" title="BOTSWANA">Botswana</option>
                  <option value="BOUVET ISLAND" title="BOUVET ISLAND">Bouvet Island</option>
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                  <option value="BRITISH INDIAN OCEAN TERRITORY" title="BRITISH INDIAN OCEAN TERRITORY">British Indian Ocean Territory</option>
                  <option value="BRUNEI DARUSSALAM" title="BRUNEI DARUSSALAM">Brunei Darussalam</option>
                  <option value="BULGARIA" title="BULGARIA">Bulgaria</option>
                  <option value="BURKINA FASO" title="BURKINA FASO">Burkina Faso</option>
                  <option value="BURUNDI" title="BURUNDI">Burundi</option>
                  <option value="CAMBODIA" title="CAMBODIA">Cambodia</option>
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                  <option value="Canary Islands" title="Canary Islands">Canary Islands</option>
                  <option value="CAPE VERDE" title="CAPE VERDE">Cape Verde</option>
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                  <option value="CHAD" title="CHAD">Chad</option>
                  <option value="CHILE" title="CHILE">Chile</option>
                  <option value="CHINA" title="CHINA">China</option>
                  <option value="CHRISTMAS ISLAND" title="CHRISTMAS ISLAND">Christmas Island</option>
                  <option value="COCOS (KEELING) ISLANDS" title="COCOS (KEELING) ISLANDS">Cocos (keeling) Islands</option>
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                  <option value="DJIBOUTI" title="DJIBOUTI">Djibouti</option>
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                  <option value="ECUADOR" title="ECUADOR">Ecuador</option>
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                  <option value="FINLAND" title="FINLAND">Finland</option>
                  <option value="FRANCE" title="FRANCE">France</option>
                  <option value="FRENCH GUIANA" title="FRENCH GUIANA">French Guiana</option>
                  <option value="FRENCH POLYNESIA" title="FRENCH POLYNESIA">French Polynesia</option>
                  <option value="FRENCH SOUTHERN TERRITORIES" title="FRENCH SOUTHERN TERRITORIES">French Southern Territories</option>
                  <option value="GABON" title="GABON">Gabon</option>
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                  <option value="GERMANY" title="GERMANY">Germany</option>
                  <option value="GHANA" title="GHANA">Ghana</option>
                  <option value="GIBRALTAR" title="GIBRALTAR">Gibraltar</option>
                  <option value="GREECE" title="GREECE">Greece</option>
                  <option value="GREENLAND" title="GREENLAND">Greenland</option>
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                  <option value="ICELAND" title="ICELAND">Iceland</option>
                  <option value="INDIA" title="INDIA">India</option>
                  <option value="INDONESIA" title="INDONESIA">Indonesia</option>
                  <option value="IRAN, ISLAMIC REPUBLIC OF" title="IRAN, ISLAMIC REPUBLIC OF">Iran, Islamic Republic Of</option>
                  <option value="IRAQ" title="IRAQ">Iraq</option>
                  <option value="IRELAND" title="IRELAND">Ireland</option>
                  <option value="ISLE OF MAN" title="ISLE OF MAN">Isle Of Man</option>
                  <option value="ISRAEL" title="ISRAEL">Israel</option>
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                  <option value="JAMAICA" title="JAMAICA">Jamaica</option>
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                  <option value="KOREA, REPUBLIC OF" title="KOREA, REPUBLIC OF">Korea, Republic Of</option>
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                  <option value="LEBANON" title="LEBANON">Lebanon</option>
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                  <option value="LIBERIA" title="LIBERIA">Liberia</option>
                  <option value="LIBYAN ARAB JAMAHIRIYA" title="LIBYAN ARAB JAMAHIRIYA">Libyan Arab Jamahiriya</option>
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                  <option value="UNITED STATES MINOR OUTLYING ISLANDS" title="UNITED STATES MINOR OUTLYING ISLANDS">United States Minor Outlying Islands</option>
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                  <option value="UZBEKISTAN" title="UZBEKISTAN">Uzbekistan</option>
                  <option value="VANUATU" title="VANUATU">Vanuatu</option>
                  <option value="VENEZUELA, BOLIVARIAN REPUBLIC OF" title="VENEZUELA, BOLIVARIAN REPUBLIC OF">Venezuela, Bolivarian Republic Of</option>
                  <option value="VIET NAM" title="VIET NAM">Viet Nam</option>
                  <option value="VIRGIN ISLANDS, BRITISH" title="VIRGIN ISLANDS, BRITISH">Virgin Islands, British</option>
                  <option value="VIRGIN ISLANDS, U.S." title="VIRGIN ISLANDS, U.S.">Virgin Islands, U.s.</option>
                  <option value="Wales" title="Wales">Wales</option>
                  <option value="WALLIS AND FUTUNA" title="WALLIS AND FUTUNA">Wallis And Futuna</option>
                  <option value="WESTERN SAHARA" title="WESTERN SAHARA">Western Sahara</option>
                  <option value="Yap" title="Yap">Yap</option>
                  <option value="YEMEN" title="YEMEN">Yemen</option>
                  <option value="Zaire" title="Zaire">Zaire</option>
                  <option value="ZAMBIA" title="ZAMBIA">Zambia</option>
                  <option value="ZIMBABWE" title="ZIMBABWE">Zimbabwe</option>
                </select>
              </div>
            </div>
            <div class="text-field">
              <label for="contact_city">City</label>
              <input type="text" name="contact_city" id="contact_city" required="" data-parsley-group="block-0">
            </div>
            <div class="text-field">
              <label for="contact_state">State</label>
              <div class="select-field">
                <select id="contact_state" name="contact_state" data-parsley-group="block-0">
                  <option value=""></option>
                  <option value="**">** - ** </option>
                  <option value="AL">AL</option>
                  <option value="AK">AK</option>
                  <option value="AZ">AZ</option>
                  <option value="AR">AR</option>
                  <option value="CA">CA</option>
                  <option value="CO">CO</option>
                  <option value="CT">CT</option>
                  <option value="DE">DE</option>
                  <option value="DC">DC</option>
                  <option value="FL">FL</option>
                  <option value="GA">GA</option>
                  <option value="HI">HI</option>
                  <option value="ID">ID</option>
                  <option value="IL">IL</option>
                  <option value="IN">IN</option>
                  <option value="IA">IA</option>
                  <option value="KS">KS</option>
                  <option value="KY">KY</option>
                  <option value="LA">LA</option>
                  <option value="ME">ME</option>
                  <option value="MD">MD</option>
                  <option value="MA">MA</option>
                  <option value="MI">MI</option>
                  <option value="MN">MN</option>
                  <option value="MS">MS</option>
                  <option value="MO">MO </option>
                  <option value="MT">MT</option>
                  <option value="NE">NE</option>
                  <option value="NV">NV</option>
                  <option value="NH">NH</option>
                  <option value="NJ">NJ</option>
                  <option value="NM">NM</option>
                  <option value="NY">NY</option>
                  <option value="NC">NC </option>
                  <option value="ND">ND</option>
                  <option value="OH">OH</option>
                  <option value="OK">OK</option>
                  <option value="OR">OR</option>
                  <option value="PA">PA</option>
                  <option value="RI">RI</option>
                  <option value="SC">SC</option>
                  <option value="SD">SD </option>
                  <option value="TN">TN</option>
                  <option value="TX">TX</option>
                  <option value="UT">UT</option>
                  <option value="VT">VT</option>
                  <option value="VA">VA</option>
                  <option value="WA">WA</option>
                  <option value="WV">WV</option>
                  <option value="WI">WI</option>
                  <option value="WY">WY</option>
                </select>
              </div><!-- .select-field -->
            </div>
            <div class="text-field">
              <label for="contact_zip">Zip</label>
              <input type="text" name="contact_zip" id="contact_zip" required="" data-parsley-group="block-0">
            </div>
          </div>
        </div>
      </div> <!-- .visitor-guide__beside -->
    </div>
    <div id="guide-step-2" class="visitor-guide__step">
      <div class="text-field">
        <label for="contact_email">Email</label>
        <input type="email" name="contact_email" id="contact_email" required="" data-parsley-group="block-1">
      </div>
      <div class="visitor-guide__half" data-date-range="">
        <div class="text-field">
          <label for="udf_449">Start Visit Date</label>
          <input data-startdate="" type="text" name="udf_449" id="udf_449" class="cal hasDatepicker" readonly="" data-parsley-group="block-1">
        </div>
        <div class="text-field">
          <label for="udf_451">End Visit Date</label>
          <input data-enddate="" type="text" name="udf_451" id="udf_451" class="cal hasDatepicker" readonly="" data-parsley-group="block-1">
        </div>
      </div>
      <div style="margin-top: 20px;">
        <div class="text-field focus">
          <div class="label">Would you like to receive e-mail updates about deals and events in Charleston?</div>
          <div>
            <input id="contact_sendemail_1" name="contact_sendemail" type="radio" tabindex="10" value="1" required="required" data-parsley-group="block-1"><label class="label-checkbox" for="contact_sendemail_1"> Yes</label>
            <input id="contact_sendemail_0" name="contact_sendemail" type="radio" tabindex="10" value="0" required="required" data-parsley-group="block-1"><label class="label-checkbox" for="contact_sendemail_0"> No</label>
          </div>
        </div>
        <div class="text-field focus">
          <div class="label">May we send you offers from our partners?</div>
          <div>
            <input id="udf_544_1" name="udf_544" type="radio" value="1" required="required" data-parsley-group="block-1"><label class="label-checkbox" for="udf_544_1"> Yes</label>
            <input id="udf_544_0" name="udf_544" type="radio" value="0" required="required" data-parsley-group="block-1"><label class="label-checkbox" for="udf_544_0"> No</label>
          </div>
        </div>
      </div>
    </div>
    <div id="guide-step-3" class="visitor-guide__step">
      <div class="text-field">
        <label for="udf_403">How did you hear about us?</label>
        <div class="select-field">
          <select class="sv_api_select" id="udf_403" name="udf_403" tabindex="14" data-parsley-group="block-2">
            <option value=""></option>
            <option value="1925" title="“O” Oprah Magazine">“O” Oprah Magazine</option>
            <option value="1926" title="AAA Go Magazine">AAA Go Magazine</option>
            <option value="1927" title="AAA Home and Away">AAA Home and Away</option>
            <option value="1928" title="AAA Tour Book">AAA Tour Book</option>
            <option value="1929" title="AAA World">AAA World</option>
            <option value="1930" title="AARP">AARP</option>
            <option value="1931" title="American Airlines In-flight Video">American Airlines In-flight Video</option>
            <option value="1932" title="American Heritage">American Heritage</option>
            <option value="1933" title="American Legacy">American Legacy</option>
            <option value="1934" title="Atlanta Journal Constitution">Atlanta Journal Constitution</option>
            <option value="1935" title="Better Homes and Gardens">Better Homes and Gardens</option>
            <option value="1936" title="Bon Appetit">Bon Appetit</option>
            <option value="1937" title="CACVB e-newsletter">CACVB e-newsletter</option>
            <option value="1938" title="Carolina Weekly">Carolina Weekly</option>
            <option value="1939" title="Chamber of Commerce">Chamber of Commerce</option>
            <option value="1940" title="Charlestonly.com">Charlestonly.com</option>
            <option value="1941" title="Charlotte Observer">Charlotte Observer</option>
            <option value="1942" title="Coastal Living">Coastal Living</option>
            <option value="1943" title="Conde Nast Traveler">Conde Nast Traveler</option>
            <option value="1944" title="Conference/Meeting">Conference/Meeting</option>
            <option value="1945" title="Cruise debark">Cruise debark</option>
            <option value="1946" title="De Outros">De Outros</option>
            <option value="1947" title="Discover America">Discover America</option>
            <option value="1948" title="Family Circle Magazine">Family Circle Magazine</option>
            <option value="1949" title="Fodor’s">Fodor’s</option>
            <option value="1950" title="Food and Wine">Food and Wine</option>
            <option value="1951" title="Food Network">Food Network</option>
            <option value="1952" title="Forbes Life">Forbes Life</option>
            <option value="1953" title="FreeTravelInfo.net">FreeTravelInfo.net</option>
            <option value="1954" title="Friend">Friend</option>
            <option value="1955" title="Friend - Reunion Group">Friend - Reunion Group</option>
            <option value="1956" title="Friend - Wedding Group">Friend - Wedding Group</option>
            <option value="1957" title="Friends/Family">Friends/Family</option>
            <option value="1958" title="Frommer’s">Frommer’s</option>
            <option value="1959" title="Garden and Gun Magazine">Garden and Gun Magazine</option>
            <option value="1960" title="Golf Channel">Golf Channel</option>
            <option value="1961" title="Gourmet Magazine">Gourmet Magazine</option>
            <option value="1962" title="House and Garden">House and Garden</option>
            <option value="1963" title="Information">Information</option>
            <option value="1964" title="Internet">Internet</option>
            <option value="1965" title="Meetings and Conventions Magazine">Meetings and Conventions Magazine</option>
            <option value="1966" title="Midwest Living">Midwest Living</option>
            <option value="1967" title="New York Times">New York Times</option>
            <option value="1968" title="Other">Other</option>
            <option value="1969" title="Outside Magazine">Outside Magazine</option>
            <option value="1970" title="Parents Magazine">Parents Magazine</option>
            <option value="1972" title="Reader’s Digest">Reader’s Digest</option>
            <option value="1973" title="Real Simple - Family">Real Simple - Family</option>
            <option value="1974" title="Returning Visitor">Returning Visitor</option>
            <option value="1975" title="SCPRT - South Carolina’s FREE Vacation Information">SCPRT - South Carolina’s FREE Vacation Information</option>
            <option value="1976" title="Smithsonian">Smithsonian</option>
            <option value="1971" title="Source Requests">Source Requests</option>
            <option value="1977" title="South Carolina Parks, Recreation, and Tourism">South Carolina Parks, Recreation, and Tourism</option>
            <option value="1978" title="Southern Living">Southern Living</option>
            <option value="1979" title="Southwest Airlines’ Spirit">Southwest Airlines’ Spirit</option>
            <option value="1980" title="Television Ad">Television Ad</option>
            <option value="1981" title="Trailer Life">Trailer Life</option>
            <option value="1982" title="Travel and Leisure">Travel and Leisure</option>
            <option value="1924" title="Unknown">Unknown</option>
            <option value="1983" title="USA Today">USA Today</option>
            <option value="1984" title="Visitor Guide">Visitor Guide</option>
            <option value="1985" title="Weather Channel Getaway Forecast">Weather Channel Getaway Forecast</option>
            <option value="1986" title="Website - Charleston CVB">Website - Charleston CVB</option>
            <option value="1987" title="Wheel of Fortune">Wheel of Fortune</option>
            <option value="1988" title="Word of mouth">Word of mouth</option>
          </select>
        </div>
      </div>
      <div class="field">
        <div class="label">Interests</div>
        <input class="sv_api_chkbox" id="inquiry_interest_15" name="inquiry_interest" type="checkbox" tabindex="12" value="15" data-parsley-multiple="inquiry_interest" data-parsley-group="block-2"><label class="label-checkbox"
          for="inquiry_interest_15"> Attractions &amp; Tours</label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_2" name="inquiry_interest" type="checkbox" tabindex="12" value="2" data-parsley-multiple="inquiry_interest" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_2">
          Dining</label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_18" name="inquiry_interest" type="checkbox" tabindex="12" value="18" data-parsley-multiple="inquiry_interest" data-parsley-group="block-2"><label class="label-checkbox"
          for="inquiry_interest_18"> Family Activities</label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_5" name="inquiry_interest" type="checkbox" tabindex="12" value="5" data-parsley-multiple="inquiry_interest" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_5">
          Outdoor Recreation</label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_19" name="inquiry_interest" type="checkbox" tabindex="12" value="19" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_19"> Lodging </label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_20" name="inquiry_interest" type="checkbox" tabindex="12" value="20" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_20"> Beach Rentals </label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_3" name="inquiry_interest" type="checkbox" tabindex="12" value="3" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_3"> Golf and Golf Packages </label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_4" name="inquiry_interest" type="checkbox" tabindex="12" value="4" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_4"> Real Estate </label><br>
        <input class="sv_api_chkbox" id="inquiry_interest_16" name="inquiry_interest" type="checkbox" tabindex="12" value="16" data-parsley-group="block-2"><label class="label-checkbox" for="inquiry_interest_16"> Weddings </label>
      </div>
      <div class="field">
        <label for="inquiry_comments">Comments</label>
        <textarea id="inquiry_comments" name="inquiry_comments" cols="40" rows="6" data-parsley-group="block-2"></textarea>
      </div>
    </div>
  </div>
  <div class="visitor-guide__navigation">
    <button type="button" class="previous button button--large" style="display: none;">Previous Step</button>
    <button type="button" class="next button button--arrow button--large">Next Step</button>
    <button type="button" class="submit button button--arrow button--large" style="display: none;">Submit</button>
  </div>
</form>

POST /cvb-plan-visit/ajax.php?method=login

<form class="popup-box__form" method="post" action="/cvb-plan-visit/ajax.php?method=login">
  <input type="hidden" name="login" value="true">
  <input type="hidden" name="domain" value="visitors">
  <label for="login-email">Email Address</label>
  <input type="email" name="email" id="login-email" required="">
  <div class="popup-box__actions">
    <button type="submit" class="button button--large button--arrow">Login</button>
  </div>
</form>

POST /cvb-plan-visit/ajax.php?method=register

<form class="popup-box__form" id="register" method="post" action="/cvb-plan-visit/ajax.php?method=register">
  <input type="hidden" name="register" value="true">
  <input type="hidden" name="domain" value="visitors">
  <label for="register-email">Email Address</label>
  <input type="email" name="email" id="register-email">
  <fieldset class="popup-box__range" data-date-range="">
    <div class="popup-box__range-field">
      <label for="login-trip-start-date">Trip Start Date</label>
      <input type="text" name="trip_startdate" data-startdate="" id="login-trip-start-date" readonly="" class="hasDatepicker">
    </div>
    <span class="popup-box__to">to</span>
    <div class="popup-box__range-field">
      <label for="login-trip-end-date">Trip End Date</label>
      <input type="text" name="trip_enddate" data-enddate="" id="login-trip-end-date" readonly="" class="hasDatepicker">
    </div>
  </fieldset>
  <div class="popup-box__actions">
    <button type="submit" class="button button--large button--arrow">Create Account</button>
  </div>
</form>

POST /cvb-plan-visit/ajax.php?method=share_trip&domain=visitors

<form class="popup-box__form" method="post" action="/cvb-plan-visit/ajax.php?method=share_trip&amp;domain=visitors" id="form-send-trip">
  <div class="popup-box__error"></div>
  <label for="send-trip-name">Name</label>
  <input type="text" name="name" id="send-trip-name" required="">
  <label for="send-trip-email">Email</label>
  <input type="email" name="email" id="send-trip-email" required="">
  <label for="send-trip-comments">Comments</label>
  <textarea name="comments" id="send-trip-comments"></textarea>
  <div class="popup-box__actions">
    <button type="submit" class="button button--large button--arrow">Share Trip</button>
  </div>
  <div class="success"></div>
</form>

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