medirooms.digiomate.in
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2a02:4780:11:1433:0:b93:8ad8:2
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URL:
https://medirooms.digiomate.in/
Submission: On August 21 via api from US — Scanned from DE
Submission: On August 21 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST /#quform-cd40b8
<form id="quform-form-02d097" class="quform-form quform-form-1 quform-ajax-initialized" action="/#quform-cd40b8" method="post" enctype="multipart/form-data" novalidate="novalidate"
data-options="{"id":1,"uniqueId":"02d097","theme":"bootstrap","ajax":true,"logic":{"logic":[],"dependents":[],"elementIds":[],"dependentElementIds":[],"animate":true},"currentPageId":1,"errorsIcon":"","updateFancybox":true,"hasPages":false,"pages":[1],"pageProgressType":"numbers","tooltipsEnabled":true,"tooltipClasses":"qtip-quform-dark qtip-shadow","tooltipMy":"left center","tooltipAt":"right center","isRtl":false,"scrollOffset":-50,"scrollSpeed":800}">
<button class="quform-default-submit" name="quform_submit" type="submit" value="submit" aria-hidden="true" tabindex="-1"></button>
<div class="quform-form-inner quform-form-inner-1"><input type="hidden" name="quform_form_id" value="1"><input type="hidden" name="quform_form_uid" value="cd40b8"><input type="hidden" name="quform_count" value="1"><input type="hidden"
name="form_url" value="https://medirooms.digiomate.in/"><input type="hidden" name="referring_url" value=""><input type="hidden" name="post_id" value="1317"><input type="hidden" name="post_title" value="Home"><input type="hidden"
name="quform_current_page_id" value="1"><input type="hidden" name="quform_csrf_token" value="29RLqvZQrgURtS5rMh1aF3RaKXYmWNj2MjsKdBPC">
<div class="quform-elements quform-elements-1 quform-cf quform-responsive-elements-phone-landscape">
<div class="quform-element quform-element-page quform-page-1 quform-page-1_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page">
<div class="quform-child-elements">
<div class="quform-element quform-element-row quform-element-row-1_4 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-1_5">
<div class="quform-element quform-element-text quform-element-1_3 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-1_3"><label class="quform-label-text" for="quform_1_3_02d097">Full Name<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-1_3">
<div class="quform-input quform-input-text quform-input-1_3 quform-cf"><input type="text" id="quform_1_3_02d097" name="quform_1_3" class="quform-field quform-field-text quform-field-1_3"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-1_6">
<div class="quform-element quform-element-email quform-element-1_7 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-1_7"><label class="quform-label-text" for="quform_1_7_02d097">Email address<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-email quform-inner-1_7">
<div class="quform-input quform-input-email quform-input-1_7 quform-cf"><input type="email" id="quform_1_7_02d097" name="quform_1_7" class="quform-field quform-field-email quform-field-1_7"></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-1_8 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-1_9">
<div class="quform-element quform-element-text quform-element-1_11 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-1_11"><label class="quform-label-text" for="quform_1_11_02d097">Phone Number<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-1_11">
<div class="quform-input quform-input-text quform-input-1_11 quform-cf"><input type="text" id="quform_1_11_02d097" name="quform_1_11" class="quform-field quform-field-text quform-field-1_11"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-1_10">
<div class="quform-element quform-element-text quform-element-1_12 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-1_12"><label class="quform-label-text" for="quform_1_12_02d097">City ( Needs Room in )<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-1_12">
<div class="quform-input quform-input-text quform-input-1_12 quform-cf"><input type="text" id="quform_1_12_02d097" name="quform_1_12" class="quform-field quform-field-text quform-field-1_12"></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-1_15 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-1_16">
<div class="quform-element quform-element-date quform-element-1_14 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-1_14"><label class="quform-label-text" for="quform_1_14_02d097">Booking From<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-date quform-inner-1_14">
<div class="quform-input quform-input-date quform-input-1_14 quform-cf quform-has-field-icon-right"><span class="k-widget k-datepicker k-header" style=""><span class="k-picker-wrap k-state-default"><input type="text"
id="quform_1_14_02d097" name="" class="quform-field quform-field-date quform-field-1_14 quform-field-date-enhanced"
data-options="{"format":"","min":"","max":"","start":"month","depth":"month","showFooter":false,"locale":"en-US","placeholder":"","autoOpen":true,"identifier":"1_14"}"
data-role="datepicker" role="combobox" aria-expanded="false" aria-owns="quform_1_14_02d097_dateview" autocomplete="off" aria-disabled="false" style="width: 100%;"><span unselectable="on" class="k-select"
aria-label="select" role="button" aria-controls="quform_1_14_02d097_dateview" style="display: none;"><span class="k-icon k-i-calendar"></span></span></span></span><input type="hidden" name="quform_1_14" value=""
class="quform-field-date-hidden"><span class="quform-field-icon quform-field-icon-right"><i class="qicon-calendar"></i></span></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-1_17">
<div class="quform-element quform-element-date quform-element-1_18 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-1_18"><label class="quform-label-text" for="quform_1_18_02d097">Booking To<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-date quform-inner-1_18">
<div class="quform-input quform-input-date quform-input-1_18 quform-cf quform-has-field-icon-right"><span class="k-widget k-datepicker k-header" style=""><span class="k-picker-wrap k-state-default"><input type="text"
id="quform_1_18_02d097" name="" class="quform-field quform-field-date quform-field-1_18 quform-field-date-enhanced"
data-options="{"format":"","min":"","max":"","start":"month","depth":"month","showFooter":false,"locale":"en-US","placeholder":"","autoOpen":true,"identifier":"1_18"}"
data-role="datepicker" role="combobox" aria-expanded="false" aria-owns="quform_1_18_02d097_dateview" autocomplete="off" aria-disabled="false" style="width: 100%;"><span unselectable="on" class="k-select"
aria-label="select" role="button" aria-controls="quform_1_18_02d097_dateview" style="display: none;"><span class="k-icon k-i-calendar"></span></span></span></span><input type="hidden" name="quform_1_18" value=""
class="quform-field-date-hidden"><span class="quform-field-icon quform-field-icon-right"><i class="qicon-calendar"></i></span></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-textarea quform-element-1_19 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-1_19"><label class="quform-label-text" for="quform_1_19_02d097">Message</label></div>
<div class="quform-inner quform-inner-textarea quform-inner-1_19">
<div class="quform-input quform-input-textarea quform-input-1_19 quform-cf"><textarea id="quform_1_19_02d097" name="quform_1_19" class="quform-field quform-field-textarea quform-field-1_19"></textarea></div>
</div>
</div>
</div>
<div class="quform-element quform-element-submit quform-element-1_2 quform-cf quform-button-style-theme quform-button-size-medium quform-button-width-medium">
<div class="quform-button-submit quform-button-submit-default quform-button-submit-1_2"><button name="quform_submit" type="submit" class="quform-submit" value="submit"><span class="quform-button-text quform-button-submit-text">Send
Request</span></button></div>
<div class="quform-loading quform-loading-position-left quform-loading-type-spinner-1">
<div class="quform-loading-inner">
<div class="quform-loading-spinner">
<div class="quform-loading-spinner-inner"></div>
</div>
</div>
</div>
</div>
<div class="quform-element-tree"><label for="quform_1_0_02d097">This field should be left blank</label><input type="text" id="quform_1_0_02d097" name="quform_1_0" class="quform-field quform-field-tree quform-field-1_0" tabindex="-1"
autocomplete="off"></div>
</div>
</div>
</div>
</div>
</form>POST /#quform-cde08a
<form id="quform-form-5a07ae" class="quform-form quform-form-2 quform-ajax-initialized" action="/#quform-cde08a" method="post" enctype="multipart/form-data" novalidate="novalidate"
data-options="{"id":2,"uniqueId":"5a07ae","theme":"bootstrap","ajax":true,"logic":{"logic":[],"dependents":[],"elementIds":[],"dependentElementIds":[],"animate":true},"currentPageId":1,"errorsIcon":"","updateFancybox":true,"hasPages":true,"pages":[1,18,39],"pageProgressType":"tabs","tooltipsEnabled":true,"tooltipClasses":"qtip-quform-dark qtip-shadow","tooltipMy":"left center","tooltipAt":"right center","isRtl":false,"scrollOffset":-50,"scrollSpeed":800}">
<button class="quform-default-submit" name="quform_submit" type="submit" value="submit" aria-hidden="true" tabindex="-1"></button>
<div class="quform-form-inner quform-form-inner-2"><input type="hidden" name="quform_form_id" value="2"><input type="hidden" name="quform_form_uid" value="cde08a"><input type="hidden" name="quform_count" value="2"><input type="hidden"
name="form_url" value="https://medirooms.digiomate.in/"><input type="hidden" name="referring_url" value=""><input type="hidden" name="post_id" value="1317"><input type="hidden" name="post_title" value="Home"><input type="hidden"
name="quform_current_page_id" value="1"><input type="hidden" name="quform_csrf_token" value="29RLqvZQrgURtS5rMh1aF3RaKXYmWNj2MjsKdBPC">
<div class="quform-elements quform-elements-2 quform-cf quform-responsive-elements-phone-landscape">
<div class="quform-page-progress quform-page-progress-type-tabs">
<div class="quform-page-progress-tabs quform-3-pages quform-cf">
<div class="quform-page-progress-tab quform-current-tab" data-id="1">Property Details</div>
<div class="quform-page-progress-tab" data-id="18">Additional Details</div>
<div class="quform-page-progress-tab" data-id="39">Owner Details</div>
</div>
</div>
<div class="quform-element quform-element-page quform-page-1 quform-page-2_1 quform-cf quform-group-style-plain quform-first-page quform-current-page">
<div class="quform-child-elements">
<div class="quform-element quform-element-text quform-element-2_3 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_3"><label class="quform-label-text" for="quform_2_3_5a07ae">Property Title<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_3">
<div class="quform-input quform-input-text quform-input-2_3 quform-cf"><input type="text" id="quform_2_3_5a07ae" name="quform_2_3" class="quform-field quform-field-text quform-field-2_3"></div>
</div>
</div>
</div>
<div class="quform-element quform-element-textarea quform-element-2_4 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-2_4"><label class="quform-label-text" for="quform_2_4_5a07ae">Property Description</label></div>
<div class="quform-inner quform-inner-textarea quform-inner-2_4">
<div class="quform-input quform-input-textarea quform-input-2_4 quform-cf"><textarea id="quform_2_4_5a07ae" name="quform_2_4" class="quform-field quform-field-textarea quform-field-2_4"></textarea></div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-2_5 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_6">
<div class="quform-element quform-element-text quform-element-2_8 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_8"><label class="quform-label-text" for="quform_2_8_5a07ae">Address<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_8">
<div class="quform-input quform-input-text quform-input-2_8 quform-cf"><input type="text" id="quform_2_8_5a07ae" name="quform_2_8" class="quform-field quform-field-text quform-field-2_8"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-2_7">
<div class="quform-element quform-element-text quform-element-2_9 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_9"><label class="quform-label-text" for="quform_2_9_5a07ae">City<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_9">
<div class="quform-input quform-input-text quform-input-2_9 quform-cf"><input type="text" id="quform_2_9_5a07ae" name="quform_2_9" class="quform-field quform-field-text quform-field-2_9"></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-2_11 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_12">
<div class="quform-element quform-element-text quform-element-2_14 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_14"><label class="quform-label-text" for="quform_2_14_5a07ae">Zip Code<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_14">
<div class="quform-input quform-input-text quform-input-2_14 quform-cf"><input type="text" id="quform_2_14_5a07ae" name="quform_2_14" class="quform-field quform-field-text quform-field-2_14"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-2_13">
<div class="quform-element quform-element-select quform-element-2_10 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_10"><label class="quform-label-text" for="quform_2_10_5a07ae">Country <span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-select quform-inner-2_10">
<div class="quform-input quform-input-select quform-input-2_10 quform-cf"><select id="quform_2_10_5a07ae" name="quform_2_10" class="quform-field quform-field-select quform-field-2_10">
<option value="Germany">Germany</option>
</select></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-submit quform-element-2_2 quform-cf quform-button-style-theme quform-button-size-medium quform-button-width-medium">
<div class="quform-button-next quform-button-next-default quform-button-next-2_2"><button name="quform_submit" type="submit" class="quform-next" value="submit"><span class="quform-button-text quform-button-next-text">Next</span></button>
</div>
<div class="quform-loading quform-loading-position-left quform-loading-type-spinner-1">
<div class="quform-loading-inner">
<div class="quform-loading-spinner">
<div class="quform-loading-spinner-inner"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-page quform-page-18 quform-page-2_18 quform-cf quform-group-style-plain">
<div class="quform-child-elements">
<div class="quform-element quform-element-file quform-element-2_20 quform-cf quform-element-required quform-enhanced-upload">
<div class="quform-spacer">
<div class="quform-label quform-label-2_20"><label class="quform-label-text" for="quform_2_20_5a07ae">Upload Photos of Property<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-file quform-inner-2_20">
<div class="quform-input quform-input-file quform-input-2_20 quform-cf quform-button-style-theme quform-button-size-medium quform-button-width-medium">
<div class="quform-upload-button quform-upload-button-icon-right"><span class="quform-upload-button-text">Browse...</span><span class="quform-upload-button-icon"><i class="qicon-file_upload"></i></span><input type="file"
id="quform_2_20_5a07ae" name="quform_2_20[]" class="quform-field quform-field-file quform-field-2_20 quform-field-file-enhanced" multiple=""
data-config="{"id":20,"identifier":"2_20","name":"quform_2_20","max":20,"size":31457280,"allowedExtensions":["jpg","jpeg","png","gif"],"notAllowedTypeWithFilename":"File type of '%filename%' is not allowed","tooBigWithFilename":"File '%filename%' exceeds the maximum allowed file size","tooMany":"You cannot upload more than %max% file(s)","buttonType":"button","buttonText":"Browse...","buttonIcon":"qicon-file_upload","buttonIconPosition":"right"}">
</div>
</div>
<div class="quform-upload-files quform-cf" style="display: none;"></div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-2_21 quform-3-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_22">
<div class="quform-element quform-element-text quform-element-2_25 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_25"><label class="quform-label-text" for="quform_2_25_5a07ae">Number of Rooms<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_25">
<div class="quform-input quform-input-text quform-input-2_25 quform-cf"><input type="text" id="quform_2_25_5a07ae" name="quform_2_25" class="quform-field quform-field-text quform-field-2_25"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-2_23">
<div class="quform-element quform-element-text quform-element-2_26 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_26"><label class="quform-label-text" for="quform_2_26_5a07ae">Number of Beds<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_26">
<div class="quform-input quform-input-text quform-input-2_26 quform-cf"><input type="text" id="quform_2_26_5a07ae" name="quform_2_26" class="quform-field quform-field-text quform-field-2_26"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-2_24">
<div class="quform-element quform-element-text quform-element-2_27 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_27"><label class="quform-label-text" for="quform_2_27_5a07ae">Number of Bathrooms<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_27">
<div class="quform-input quform-input-text quform-input-2_27 quform-cf"><input type="text" id="quform_2_27_5a07ae" name="quform_2_27" class="quform-field quform-field-text quform-field-2_27"></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-2_28 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_29">
<div class="quform-element quform-element-text quform-element-2_31 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_31"><label class="quform-label-text" for="quform_2_31_5a07ae">On Which Floor?<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_31">
<div class="quform-input quform-input-text quform-input-2_31 quform-cf"><input type="text" id="quform_2_31_5a07ae" name="quform_2_31" class="quform-field quform-field-text quform-field-2_31"></div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-column quform-element-2_30">
<div class="quform-element quform-element-text quform-element-2_32 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_32"><label class="quform-label-text" for="quform_2_32_5a07ae">How Many Guests allowed ?<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_32">
<div class="quform-input quform-input-text quform-input-2_32 quform-cf"><input type="text" id="quform_2_32_5a07ae" name="quform_2_32" class="quform-field quform-field-text quform-field-2_32"></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-row quform-element-row-2_33 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_34">
<div class="quform-element quform-element-select quform-element-2_36 quform-cf quform-element-optional">
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<div class="quform-label quform-label-2_36"><label class="quform-label-text" for="quform_2_36_5a07ae">Price Per??</label></div>
<div class="quform-inner quform-inner-select quform-inner-2_36">
<div class="quform-input quform-input-select quform-input-2_36 quform-cf"><select id="quform_2_36_5a07ae" name="quform_2_36" class="quform-field quform-field-select quform-field-2_36">
<option value="" selected="selected">Please select</option>
<option value="Day ">Day </option>
<option value="Week">Week</option>
<option value="Month">Month</option>
</select></div>
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<div class="quform-element quform-element-text quform-element-2_38 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_38"><label class="quform-label-text" for="quform_2_38_5a07ae">Price<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_38">
<div class="quform-input quform-input-text quform-input-2_38 quform-cf"><input type="text" id="quform_2_38_5a07ae" name="quform_2_38" class="quform-field quform-field-text quform-field-2_38"></div>
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<div class="quform-element quform-element-submit quform-element-2_19 quform-cf quform-button-style-theme quform-button-size-medium quform-button-width-medium">
<div class="quform-button-back quform-button-back-default quform-button-back-2_19"><button name="quform_submit" type="submit" class="quform-back" value="back"><span class="quform-button-text quform-button-back-text">Back</span></button>
</div>
<div class="quform-button-next quform-button-next-default quform-button-next-2_19"><button name="quform_submit" type="submit" class="quform-next" value="submit"><span class="quform-button-text quform-button-next-text">Next</span></button>
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<div class="quform-child-elements">
<div class="quform-element quform-element-row quform-element-row-2_44 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_45">
<div class="quform-element quform-element-text quform-element-2_43 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_43"><label class="quform-label-text" for="quform_2_43_5a07ae">Owner Full Name<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_43">
<div class="quform-input quform-input-text quform-input-2_43 quform-cf"><input type="text" id="quform_2_43_5a07ae" name="quform_2_43" class="quform-field quform-field-text quform-field-2_43"></div>
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<div class="quform-element quform-element-email quform-element-2_47 quform-cf quform-element-required">
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<div class="quform-label quform-label-2_47"><label class="quform-label-text" for="quform_2_47_5a07ae">Owner Email address<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-email quform-inner-2_47">
<div class="quform-input quform-input-email quform-input-2_47 quform-cf"><input type="email" id="quform_2_47_5a07ae" name="quform_2_47" class="quform-field quform-field-email quform-field-2_47"></div>
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<div class="quform-element quform-element-row quform-element-row-2_48 quform-2-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape">
<div class="quform-element quform-element-column quform-element-2_49">
<div class="quform-element quform-element-text quform-element-2_51 quform-cf quform-element-required">
<div class="quform-spacer">
<div class="quform-label quform-label-2_51"><label class="quform-label-text" for="quform_2_51_5a07ae">Phone Number<span class="quform-required">*</span></label></div>
<div class="quform-inner quform-inner-text quform-inner-2_51">
<div class="quform-input quform-input-text quform-input-2_51 quform-cf"><input type="text" id="quform_2_51_5a07ae" name="quform_2_51" class="quform-field quform-field-text quform-field-2_51"></div>
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<div class="quform-element quform-element-column quform-element-2_50">
<div class="quform-element quform-element-textarea quform-element-2_53 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-2_53"><label class="quform-label-text" for="quform_2_53_5a07ae">Any Message</label></div>
<div class="quform-inner quform-inner-textarea quform-inner-2_53">
<div class="quform-input quform-input-textarea quform-input-2_53 quform-cf"><textarea id="quform_2_53_5a07ae" name="quform_2_53" class="quform-field quform-field-textarea quform-field-2_53"></textarea></div>
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<div class="quform-element quform-element-checkbox quform-element-2_54 quform-cf quform-element-optional">
<div class="quform-spacer">
<div class="quform-label quform-label-2_54"><label class="quform-label-text" id="quform_2_54_5a07ae_label">I hereby Consent that all my details are correct , and i wish to rent my property to "Medirooms" for guests to use.</label></div>
<div class="quform-inner quform-inner-checkbox quform-inner-2_54">
<div class="quform-input quform-input-checkbox quform-input-2_54 quform-cf">
<div class="quform-options quform-cf quform-options-block quform-options-simple" role="group" aria-labelledby="quform_2_54_5a07ae_label">
<div class="quform-option"><input type="checkbox" name="quform_2_54[]" id="quform_2_54_5a07ae_1" class="quform-field quform-field-checkbox quform-field-2_54 quform-field-2_54_1" value="I agree"><label for="quform_2_54_5a07ae_1"
class="quform-option-label quform-option-label-2_54_1"><span class="quform-option-text">I agree</span></label></div>
</div>
</div>
</div>
</div>
</div>
<div class="quform-element quform-element-submit quform-element-2_40 quform-cf quform-button-style-theme quform-button-size-medium quform-button-width-medium">
<div class="quform-button-back quform-button-back-default quform-button-back-2_40"><button name="quform_submit" type="submit" class="quform-back" value="back"><span class="quform-button-text quform-button-back-text">Back</span></button>
</div>
<div class="quform-button-submit quform-button-submit-default quform-button-submit-2_40"><button name="quform_submit" type="submit" class="quform-submit" value="submit"><span
class="quform-button-text quform-button-submit-text">Submit</span></button></div>
<div class="quform-loading quform-loading-position-left quform-loading-type-spinner-1">
<div class="quform-loading-inner">
<div class="quform-loading-spinner">
<div class="quform-loading-spinner-inner"></div>
</div>
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</div>
<div class="quform-element-tree"><label for="quform_2_0_5a07ae">This field should be left blank</label><input type="text" id="quform_2_0_5a07ae" name="quform_2_0" class="quform-field quform-field-tree quform-field-2_0" tabindex="-1"
autocomplete="off"></div>
</div>
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<div class="quform-upload-progress-wrap">
<div class="quform-upload-progress-bar-wrap">
<div class="quform-upload-progress-bar"></div>
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<div class="quform-upload-info quform-cf">
<div class="quform-upload-filename"></div>
</div>
</div>
</div>
</form>Text Content
Skip to content 020 -1509 - 06603 020 -1509 - 06603 Main Menu * HOME * ABOUT * SERVICES * CONTACT MEDIROOMS FIND / LIST YOUR ACCOMMODATION NEAR THE CLINIC. OUR MISSION IS TO PROVIDE A COMFORTABLE AND STRESS-FREE SOLUTION FOR PEOPLE - WHETHER EXTERNAL PROFESSIONALS OR RELATIVES OF PATIENTS - WHO NEED ACCOMMODATION NEAR CLINICS. We understand the challenges that come with a hospital stay, be it for medical treatments or for families and patients. That’s why we’ve made it our mission to create a platform that offers a selection of accommodation in close proximity to the most important clinics. Our story began from personal experience when we ourselves were looking for suitable accommodation during a hospital stay. Frustrated by the limited choice and lack of information, we decided to create a solution that solves this problem. Since then, we have worked hard to continually expand our offering and continuously improve our service. Whether you’re looking for a quiet retreat for yourself or need to organize accommodation for your loved ones, we’re here to help. With us you will find a variety of options to suit your needs and make your stay as pleasant as possible. RUTH A. FLORA YOU CAN SHOWCASE A CLIENT REVIEW HERE. MAKE IT NICE AND SHORT, THEN USE THIS BUTTON TO SEND THEM TO YOUR REVIEWS OR SERVICES PAGE. What My Clients Say Full Name* Email address* Phone Number* City ( Needs Room in )* Booking From* Booking To* Message Send Request This field should be left blank Property Details Additional Details Owner Details Property Title* Property Description Address* City* Zip Code* Country * Germany Next Upload Photos of Property* Browse... Number of Rooms* Number of Beds* Number of Bathrooms* On Which Floor?* How Many Guests allowed ?* Price Per?? Please selectDay WeekMonth Price* Back Next Owner Full Name* Owner Email address* Phone Number* Any Message I hereby Consent that all my details are correct , and i wish to rent my property to "Medirooms" for guests to use. I agree Back Submit This field should be left blank INSERT A CALL TO ACTION THINK OF WHAT YOU WANT YOUR VISITOR TO DO NEXT. MAYBE THEY SHOULD CONTACT YOU? Get In Touch * HOME * ABOUT * SERVICES * CONTACT © 2024 Hope Starter Design