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		</tr>
		<tr id="travel_insurance_fields1" style="display:none;">
		<td class="w33 headVr ar b p7px"><b class="star">*</b>Destination Country</td>
		<td class="data p7px"><label>
		<input type="radio" name="dynFrm_destination_country" value="India" checked="checked">
		India</label>
		&nbsp;
		<label>
		<input type="radio" name="dynFrm_destination_country" value="Other" >
		Other</label></td>
		</tr>
		<tr id="travel_insurance_fields" >
		<td class="w33 headVr ar b p7px"><b class="star">*</b> Tour Type</td>
		<td class="data p7px"><label class="dib w100px">
		<input type="radio" name="dynFrm_tour_type" value="One Way" onClick="jQuery('#air-return-date-container').hide();" checked="checked">
		One Way </label>
		&nbsp;
		<label class="dib w100px">
		<input type="radio" name="dynFrm_tour_type" id="dynFrm_tour_type" value="Round Trip" onClick="jQuery('#air-return-date-container').show();" >
		Round Trip</label></td>
		</tr>
		<tr>
		<td class="headVr ar b p7px"><b class="star">*</b> Departure Date</td>
		<td class="data p7px"><input type="text" name="dynFrm_arrival_date" class="input w45 mr10px dynFrm_arrival_date" value="" readonly /> (MM/DD/YYYY)
		</td>
				</tr>
		<tr id="air-return-date-container"  style="display:none;" >
		<td class="headVr ar b p7px"><b class="star">*</b> Return Date </td>
		<td class="data p7px"><input type="text" name="dynFrm_departure_date" class="input w45 mr10px dynFrm_departure_date" value="" readonly /> (MM/DD/YYYY)
		</td>
		</tr>
		<tr>
		<td class="headVr ar b p7px"><b class="star">*</b> Destination from</td>
		<td class="data p7px"><input type="text" name="dynFrm_destination_from" class="input w45 gbiwb p5px" value="" /></td>
		</tr>
		<tr>
		<td class="headVr ar b p7px"><b class="star">*</b> Destination to</td>
		<td class="data p7px"><input type="text" name="dynFrm_destination_to" class="input w45 gbiwb p5px" value="" /></td>
		</tr>
		<tr id="car_coach_fields1" >
		<td class="headVr ar b p7px"><b class="star">*</b> No. of Tickets</td>
		<td class="data p7px"><select name="dynFrm_no_of_adults">
		<option value="">Adults</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
						<option value="6" >6</option>
					<option value="Group" >Group</option>
		</select>
		&nbsp;
		<select name="dynFrm_no_of_children">
		<option value="0">Children</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					<option value="5+" >5+</option>
		</select>
		
				&nbsp;
		<span id="air_ticketing_fields1" >
		<select name="dynFrm_no_of_infants">
		<option value="0">Infants</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					</select>
		&nbsp;
		<select name="dynFrm_no_of_srcitizen">
		<option value="0">Sr. Citizen</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					</select>
		</span>
		</td>
		</tr>
		<tr id="rail_ticketing_fields"  style="display:none;" >
		<td class="headVr ar b p7px"><b class="star">*</b> Ticket Class</td>
		<td class="data p7px">
		<select name="dynFrm_ticket_class" class="w48">
		<option value="General" >General</option>
		<option value="Sleeper" >Sleeper</option>
		<option value="AC" >A/C</option>
		</select></td>
		</tr>
		<tr id="car_coach_fields2"  style="display:none;" >
		<td class="w33 headVr ar b p7px"><b class="star">*</b> No. of Vehicles </td>
		<td class="data p7px">
		<select  name="dynFrm_no_of_vehicles" class="w48">
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
						<option value="6" >6</option>
						<option value="7" >7</option>
						<option value="8" >8</option>
						<option value="9" >9</option>
						<option value="10" >10</option>
					</select></td>
		</tr>
		<tr id="car_coach_fields3"  style="display:none;" >
		<td class="headVr ar b p7px"><b class="star">*</b> No. of Persons</td>
		<td class="data p7px">
		<select name="dynFrm_car_no_adults" class="w15">
		<option value="">Adults</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
						<option value="6" >6</option>
					<option value="Group" >Group</option>
		</select>
		&nbsp;
		<select name="dynFrm_car_no_children">
		<option value="0">Children</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					<option value="5+" >5+</option>
		</select>
		</td>
		</tr>
		</table>
		</div>
		
				
		<div id="passport_visa_fields1" style="display:none;">
		<table class="w100 formTable">
		<tr>
		<td class="w33 headVr ar b p7px"><b class="star">*</b> Service Type</td>
		<td class="data p7px"><label class="dib w45">
		<input type="radio" name="dynFrm_service_type" id="dynFrm_service_type" value="Passport Only" onClick="jQuery('#visa_id').hide();" checked="checked">
		Passport Only</label>
		&nbsp;
		<label class="dib w100px">
		<input type="radio" name="dynFrm_service_type" value="Visa Only" onClick="jQuery('#visa_id').show();" >
		Visa Only</label>
		&nbsp;
		<label class="dib w150px">
		<input type="radio" name="dynFrm_service_type" value="Both" onClick="jQuery('#visa_id').show();" >
		Both</label></td>
		</tr>
				<tr id="visa_id" style="display:none;">
		<td colspan="2">
		<table class="w100 formTable">
		<tr>
		<td class="w33 headVr ar b p7px"><b class="star">*</b> Visa for</td>
		<td class="data p7px">
		<select name="dynFrm_visa_for" class="w48">
		<option value="">Select Country</option>
					
			<option value="AF^+93" >Afghanistan</option>
		
						
			<option value="CF^+236" >African Republic</option>
		
						
			<option value="AL^+355" >Albania</option>
		
						
			<option value="DZ^+213" >Algeria</option>
		
						
			<option value="AS^+0" >American Samoa</option>
		
						
			<option value="AD^+376" >Andorra</option>
		
						
			<option value="AO^+244" >Angola</option>
		
						
			<option value="AI^+264" >Anguilla</option>
		
						
			<option value="AG^+268" >Antigua and Barbuda</option>
		
						
			<option value="AR^+54" >Argentina</option>
		
						
			<option value="AM^+374" >Armenia</option>
		
						
			<option value="AW^+297" >Aruba</option>
		
						
			<option value="AU^+61" >Australia</option>
		
						
			<option value="AT^+43" >Austria</option>
		
						
			<option value="AZ^+994" >Azerbaijan</option>
		
						
			<option value="BS^+242" >Bahamas</option>
		
						
			<option value="BH^+973" >Bahrain</option>
		
						
			<option value="BD^+880" >Bangladesh</option>
		
						
			<option value="BB^+246" >Barbados</option>
		
						
			<option value="BY^+375" >Belarus</option>
		
						
			<option value="BE^+32" >Belgium</option>
		
						
			<option value="BZ^+501" >Belize</option>
		
						
			<option value="BJ^+229" >Benin</option>
		
						
			<option value="BM^+441" >Bermuda</option>
		
						
			<option value="BT^+975" >Bhutan</option>
		
						
			<option value="BO^+591" >Bolivia</option>
		
						
			<option value="BA^+387" >Bosnia and Herzegovina</option>
		
						
			<option value="BW^+267" >Botswana</option>
		
						
			<option value="BV^+47" >Bouvet</option>
		
						
			<option value="BR^+55" >Brazil</option>
		
						
			<option value="BN^+673" >Brunei</option>
		
						
			<option value="BG^+359" >Bulgaria</option>
		
						
			<option value="BF^+226" >Burkina</option>
		
						
			<option value="BF^+0" >Burkina Faso</option>
		
						
			<option value="BI^+257" >Burundi</option>
		
						
			<option value="KH^+855" >Cambodia</option>
		
						
			<option value="CM^+237" >Cameroon</option>
		
						
			<option value="CA^+1" >Canada</option>
		
						
			<option value="CV^+238" >Cape Verde</option>
		
						
			<option value="KY^+345" >Cayman Islands</option>
		
						
			<option value="236^+236" >Central African Republic</option>
		
						
			<option value="TD^+235" >Chad</option>
		
						
			<option value="IO^+246" >Chagos</option>
		
						
			<option value="CL^+56" >Chile</option>
		
						
			<option value="CN^+86" >China</option>
		
						
			<option value="CX^+61" >Christmas Island</option>
		
						
			<option value="CC^+61" >Cocos</option>
		
						
			<option value="CO^+57" >Colombia</option>
		
						
			<option value="KM^+269" >Comoros</option>
		
						
			<option value="CG^+242" >Congo</option>
		
						
			<option value="CK^+682" >Cook Islands</option>
		
						
			<option value="RCI^+506" >Costa Rica</option>
		
						
			<option value="HR^+385" >Croatia</option>
		
						
			<option value="CU^+53" >Cuba</option>
		
						
			<option value="CY^+357" >Cyprus</option>
		
						
			<option value="CZ^+420" >Czech Republic</option>
		
						
			<option value="DK^+45" >Denmark</option>
		
						
			<option value="DJ^+253" >Djibouti</option>
		
						
			<option value="DM^+767" >Dominica</option>
		
						
			<option value="DO^+809" >Dominican Republic</option>
		
						
			<option value="TP^+670" >East Timor</option>
		
						
			<option value="EC^+593" >Ecuador</option>
		
						
			<option value="EG^+20" >Egypt</option>
		
						
			<option value="SV^+503" >El Salvador</option>
		
						
			<option value="GQ^+0" >Equatorial Guinea</option>
		
						
			<option value="ER^+291" >Eritrea</option>
		
						
			<option value="EE^+372" >Estonia</option>
		
						
			<option value="ET^+251" >Ethiopia</option>
		
						
			<option value="FO^+298" >Faroe</option>
		
						
			<option value="FM^+691" >Federated States of Micronesia</option>
		
						
			<option value="FJ^+679" >Fiji</option>
		
						
			<option value="FI^+358" >Finland</option>
		
						
			<option value="FR^+33" >France</option>
		
						
			<option value="FX^+590" >France, Metropolitan</option>
		
						
			<option value="GF^+594" >French Guiana</option>
		
						
			<option value="FP^+689" >French Polynesia</option>
		
						
			<option value="TF^+590" >French Southern Territories</option>
		
						
			<option value="GA^+241" >Gabon</option>
		
						
			<option value="GM^+220" >Gambia</option>
		
						
			<option value="GE^+995" >Georgia</option>
		
						
			<option value="DE^+49" >Germany</option>
		
						
			<option value="GH^+233" >Ghana</option>
		
						
			<option value="GI^+350" >Gibraltar</option>
		
						
			<option value="GR^+30" >Greece</option>
		
						
			<option value="GL^+299" >Greenland</option>
		
						
			<option value="GD^+809" >Grenada</option>
		
						
			<option value="Gre^+473" >Grenada</option>
		
						
			<option value="GP^+590" >Guadeloupe</option>
		
						
			<option value="GU^+1" >Guam</option>
		
						
			<option value="GT^+502" >Guatemala</option>
		
						
			<option value="GN^+224" >Guinea</option>
		
						
			<option value="GW^+245" >Guinea-bissau</option>
		
						
			<option value="GY^+592" >Guyana</option>
		
						
			<option value="HT^+509" >Haiti</option>
		
						
			<option value="HM^+61" >Heard and Mc Donald Islands</option>
		
						
			<option value="HN^+504" >Honduras</option>
		
						
			<option value="HU^+36" >Hungary</option>
		
						
			<option value="IS^+354" >Iceland</option>
		
						
			<option value="IN^+91" >India</option>
		
						
			<option value="ID^+62" >Indonesia</option>
		
						
			<option value="IR^+98" >Iran</option>
		
						
			<option value="IQ^+964" >Iraq</option>
		
						
			<option value="IE^+353" >Ireland</option>
		
						
			<option value="IL^+972" >Israel</option>
		
						
			<option value="IT^+39" >Italy</option>
		
						
			<option value="CI^+225" >Ivory Coast</option>
		
						
			<option value="JM^+876" >Jamaica</option>
		
						
			<option value="JP^+81" >Japan</option>
		
						
			<option value="JO^+962" >Jordan</option>
		
						
			<option value="KZ^+7" >Kazakhstan</option>
		
						
			<option value="KE^+254" >Kenya</option>
		
						
			<option value="KI^+686" >Kiribati</option>
		
						
			<option value="KW^+965" >Kuwait</option>
		
						
			<option value="KG^+996" >Kyrgyzstan</option>
		
						
			<option value="LA^+856" >Lao People's Democratic Republic</option>
		
						
			<option value="LA^+856" >Laos</option>
		
						
			<option value="LV^+371" >Latvia</option>
		
						
			<option value="LB^+961" >Lebanon</option>
		
						
			<option value="LS^+266" >Lesotho</option>
		
						
			<option value="LR^+231" >Liberia</option>
		
						
			<option value="LY^+218" >Libya</option>
		
						
			<option value="LI^+423" >Liechtenstein</option>
		
						
			<option value="LT^+370" >Lithuania</option>
		
						
			<option value="LU^+352" >Luxembourg</option>
		
						
			<option value="MO^+853" >Macau</option>
		
						
			<option value="MK^+389" >Macedonia</option>
		
						
			<option value="MG^+261" >Madagascar</option>
		
						
			<option value="MW^+265" >Malawi</option>
		
						
			<option value="MY^+60" >Malaysia</option>
		
						
			<option value="MV^+960" >Maldives</option>
		
						
			<option value="ML^+223" >Mali</option>
		
						
			<option value="MT^+356" >Malta</option>
		
						
			<option value="FK^+500" >Malvinas</option>
		
						
			<option value="MH^+692" >Marshall Islands</option>
		
						
			<option value="MQ^+596" >Martinique</option>
		
						
			<option value="MR^+222" >Mauritania</option>
		
						
			<option value="MU^+230" >Mauritius</option>
		
						
			<option value="YT^+269" >Mayotte</option>
		
						
			<option value="MX^+52" >Mexico</option>
		
						
			<option value="MD^+0" >Moldova</option>
		
						
			<option value="MD^+373" >Moldova (Republic of Moldova)</option>
		
						
			<option value="MC^+377" >Monaco</option>
		
						
			<option value="MN^+976" >Mongolia</option>
		
						
			<option value="ME^+381" >Montenegro</option>
		
						
			<option value="MS^+664" >Montserrat</option>
		
						
			<option value="MA^+212" >Morocco</option>
		
						
			<option value="MZ^+258" >Mozambique</option>
		
						
			<option value="MM^+95" >Myanmar</option>
		
						
			<option value="NA^+264" >Namibia</option>
		
						
			<option value="NR^+674" >Nauru</option>
		
						
			<option value="NP^+977" >Nepal</option>
		
						
			<option value="NL^+31" >Netherlands</option>
		
						
			<option value="AN^+599" >Netherlands Antilles</option>
		
						
			<option value="NC^+687" >New Caledonia</option>
		
						
			<option value="PG^+675" >New Guinea</option>
		
						
			<option value="NZ^+64" >New Zealand</option>
		
						
			<option value="NI^+505" >Nicaragua</option>
		
						
			<option value="NE^+227" >Niger</option>
		
						
			<option value="NG^+234" >Nigeria</option>
		
						
			<option value="NU^+683" >Niue</option>
		
						
			<option value="NF^+672" >Norfolk Island</option>
		
						
			<option value="KP^+850" >North Korea</option>
		
						
			<option value="MP^+670" >Northern Mariana Islands</option>
		
						
			<option value="NO^+47" >Norway</option>
		
						
			<option value="OM^+968" >Oman</option>
		
						
			<option value="PK^+92" >Pakistan</option>
		
						
			<option value="PW^+680" >Palau</option>
		
						
			<option value="PA^+507" >Panama</option>
		
						
			<option value="PG^+0" >Papua New Guinea</option>
		
						
			<option value="PY^+595" >Paraguay</option>
		
						
			<option value="PE^+51" >Peru</option>
		
						
			<option value="PH^+63" >Philippines</option>
		
						
			<option value="PN^+872" >Pitcairn</option>
		
						
			<option value="PL^+48" >Poland</option>
		
						
			<option value="PF^+689" >Polynesia</option>
		
						
			<option value="PT^+351" >Portugal</option>
		
						
			<option value="PR^+1-787" >Puerto Rico</option>
		
						
			<option value="QA^+974" >Qatar</option>
		
						
			<option value="RE^+262" >Reunion</option>
		
						
			<option value="RO^+40" >Romania</option>
		
						
			<option value="RU^+7" >Russia</option>
		
						
			<option value="RW^+250" >Rwanda</option>
		
						
			<option value="KN^+869" >Saint Kitts and Nevis</option>
		
						
			<option value="LC^+758" >Saint Lucia</option>
		
						
			<option value="VC^+784" >Saint Vincent and the Grenadines</option>
		
						
			<option value="WS^+685" >Samoa</option>
		
						
			<option value="SM^+378" >San Marino</option>
		
						
			<option value="ST^+239" >Sao Tome And Principe</option>
		
						
			<option value="SA^+966" >Saudi Arabia</option>
		
						
			<option value="SN^+221" >Senegal</option>
		
						
			<option value="RS^+381" >Serbia</option>
		
						
			<option value="SC^+248" >Seychelles</option>
		
						
			<option value="SL^+232" >Sierra Leone</option>
		
						
			<option value="SG^+65" >Singapore</option>
		
						
			<option value="SK^+421" >Slovakia</option>
		
						
			<option value="SI^+386" >Slovenia</option>
		
						
			<option value="SB^+677" >Solomon Islands</option>
		
						
			<option value="SO^+252" >Somalia</option>
		
						
			<option value="ZA^+27" >South Africa</option>
		
						
			<option value="GS^+44" >South Georgia and the South Sandwich Islands</option>
		
						
			<option value="KR^+82" >South Korea</option>
		
						
			<option value="ES^+34" >Spain</option>
		
						
			<option value="LK^+94" >Sri Lanka</option>
		
						
			<option value="SH^+290" >St. Helena</option>
		
						
			<option value="PM^+508" >St. Pierre and Miquelon</option>
		
						
			<option value="SD^+249" >Sudan</option>
		
						
			<option value="SR^+597" >Suriname</option>
		
						
			<option value="SJ^+47" >Svalbard and Jan Mayen Islands</option>
		
						
			<option value="SZ^+268" >Swaziland</option>
		
						
			<option value="SE^+46" >Sweden</option>
		
						
			<option value="CH^+41" >Switzerland</option>
		
						
			<option value="SY^+963" >Syria</option>
		
						
			<option value="TW^+886" >Taiwan</option>
		
						
			<option value="TJ^+7" >Tajikistan</option>
		
						
			<option value="TZ^+255" >Tanzania</option>
		
						
			<option value="TH^+66" >Thailand</option>
		
						
			<option value="TG^+228" >Togo</option>
		
						
			<option value="TK^+64" >Tokelau</option>
		
						
			<option value="TO^+676" >Tonga</option>
		
						
			<option value="TT^+868" >Trinidad and Tobago</option>
		
						
			<option value="TN^+216" >Tunisia</option>
		
						
			<option value="TR^+90" >Turkey</option>
		
						
			<option value="TM^+993" >Turkmenistan</option>
		
						
			<option value="TC^+649" >Turks and Caicos Islands</option>
		
						
			<option value="TV^+688" >Tuvalu</option>
		
						
			<option value="AE^+971" >UAE</option>
		
						
			<option value="UG^+256" >Uganda</option>
		
						
			<option value="UA^+380" >Ukraine</option>
		
						
			<option value="UK^+44" >United Kingdom</option>
		
						
			<option value="UM^+1" >United States Minor Outlying Islands</option>
		
						
			<option value="UY^+598" >Uruguay</option>
		
						
			<option value="US^+1" >USA</option>
		
						
			<option value="UZ^+998" >Uzbekistan</option>
		
						
			<option value="VU^+678" >Vanuatu</option>
		
						
			<option value="VA^+0" >Vatican City</option>
		
						
			<option value="VA^+39" >Vatican City State (Holy See)</option>
		
						
			<option value="VE^+58" >Venezuela</option>
		
						
			<option value="VN^+84" >Vietnam</option>
		
						
			<option value="VG^+1" >Virgin Islands (British)</option>
		
						
			<option value="VI^+1" >Virgin Islands (U.S.)</option>
		
						
			<option value="WF^+681" >Wallis and Futuna Islands</option>
		
						
			<option value="EH^+212" >Western Sahara</option>
		
						
			<option value="YE^+967" >Yemen</option>
		
						
			<option value="YU^+381" >Yugoslavia</option>
		
						
			<option value="ZR^+243" >Zaire</option>
		
						
			<option value="ZM^+260" >Zambia</option>
		
						
			<option value="ZW^+263" >Zimbabwe</option>
		
					</select>
		</td>
		</tr>
		<tr>
		<td class="headVr ar b p7px"><b class="star">*</b> Visa Type</td>
		<td class="data p7px">
		<select name="dynFrm_visa_type" class="w48">
		<option value="">Select Visa Type</option>
		<option value="Business Visa" >Business Visa</option>
		<option value="Tour Visa" >Tour Visa</option>
		<option value="Student Visa" >Student Visa</option>
		</select>
		</td>
		</tr>
		</table>
		</td>
		</tr>
		</table>
		</div>
		
				
		<div id="tour_operators_fields" style="display:none;">
		<table class="w100 formTable">
		<tr id="hotel_booking_fields" >
		<td class="w33 ar p7px b headVr"><b class="star">*</b> Tour Country</td>
		<td class="p7px data">
		
		<select name="dynFrm_select_country" class="w48">		
					
			<option value="IN^+91" >India</option>
		
					</select>
		</td>
		</tr>
		
		<tr id="hotel_booking_fields2" >
		<td class="ar p7px b headVr"><b class="star">*</b> City to Travel</td>
		<td class="p7px data"><input type="text" name="dynFrm_city_to_travel" class="input w45 gbiwb p5px" value="" /></td>
		</tr>
		<tr id="hotel_booking_fields7" >
		<td class="ar p7px b headVr">Tour Start City</td>
		<td class="p7px data"><input type="text" name="dynFrm_tour_start_city" class="input w45 gbiwb p5px" value="" /></td>
		</tr>
		<tr id="hotel_booking_fields5" >
		<td class="ar p7px b headVr"><b class="star">*</b> Hotel Destination</td>
		<td class="p7px data"><input type="text" name="dynFrm_hotel_destination" class="input w45 gbiwb p5px" value="" /></td>
		</tr>
		<tr>
					<td id="hotel_booking_fields8"  class="w33 headVr ar b p7px"><b class="star">*</b> Check In</td>
			<td id="hotel_booking_fields9"  class="w33 headVr ar b p7px"><b class="star">*</b> Arrival On</td>
					
		
		<td class="data p7px"><input type="text" name="dynFrm_arrival_on" class="input w45 mr10px dynFrm_arrival_on" value="" readonly /> (MM/DD/YYYY)</td>
		</tr>
		<tr id="hotel_booking_fields6" >
		<td class="headVr ar b p7px"><b class="star">*</b> Duration</td>
		<td class="data p7px"><input type="text" name="dynFrm_duration" class="input w45 mr10px" value="" /> Days</td>
		</tr>
		<tr id="hotel_booking_fields1" >
		<td class="headVr ar b p7px"><b class="star">*</b> Check Out</td>	
		<td class="data p7px"><input type="text" name="dynFrm_departure_on" class="input w45 mr10px dynFrm_departure_on" value="" readonly /> (MM/DD/YYYY)</td>
		</tr>
		<tr>
		<td class="headVr ar b p7px"><b class="star">*</b> No. of Persons</td>
		<td class="data p7px">
		<select name="dynFrm_no_adults">
		<option value="">Adults</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
						<option value="6" >6</option>
					<option value="Group" >Group</option>
		</select>
		&nbsp;
		<select name="dynFrm_no_children">
		<option value="0">Children</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					<option value="5+" >5+</option>
		</select>
		&nbsp;
		<select name="dynFrm_no_of_infants">
		<option value="0">Infants</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					</select>
		</td>
		</tr>
		<tr id="hotel_booking_fields4" >
		<td class="headVr ar b p7px"><b class="star">*</b> No. of Rooms</td>
		<td class="data p7px">
		<select name="dynFrm_no_of_rooms" class="w48">
		<option value="">Select One</option>
					<option value="1" >1</option>
						<option value="2" >2</option>
						<option value="3" >3</option>
						<option value="4" >4</option>
						<option value="5" >5</option>
					<option value="5+" >5+</option>
		</select></td>
		</tr>
		<tr id="hotel_booking_fields3" >
		<td class="headVr ar b p7px"><b class="star">*</b> Budget</td>
		<td class="data p7px">
		<select name="dynFrm_budget" class="w48">
		<option value=""> - Select Any - </option>
						<option value="Economy (0-2 Star)" >Economy (0-2 Star)</option>
								<option value="Standard (3-4 Star)" >Standard (3-4 Star)</option>
								<option value="Luxury (5 Star and Above)" >Luxury (5 Star and Above)</option>
						</select>
		</td>
		</tr>
		</table>
		
		<script>
		jQuery('.dynFrm_arrival_on').datepicker({minDate: 0,
		buttonImage: '//catalog.wlimg.com/jquery-date-picker/calbtn.gif',
		buttonText: 'Click to view calendar',
	    buttonImageOnly: true,
	    showOn: 'button',
	    changeMonth: true,
	    changeYear: true,
	    onClose: function(dateText, inst) {
	        var endDateTextBox = jQuery('.dynFrm_departure_on');
	        if (endDateTextBox.val() != '') {
	            var testStartDate = new Date(dateText);
	            var testEndDate = new Date(endDateTextBox.val());
	            if (testStartDate > testEndDate)
	                endDateTextBox.val(dateText);
	        }
	    }, 
		    onSelect: function (selectedDateTime){
		        var start = jQuery(this).datepicker('getDate');
		        jQuery('.dynFrm_departure_on').datepicker('option', 'minDate', new Date(start.getTime()));
		        jQuery('#dynFrm_departure_on').datepicker('option', 'minDate', new Date(start.getTime()));
		    }    
		});
		jQuery('.dynFrm_departure_on').datepicker({
		minDate: 0,
		buttonImage: '//catalog.wlimg.com/jquery-date-picker/calbtn.gif',
		buttonText: 'Click to view calendar',
	    buttonImageOnly: true,
	    showOn: 'button',
	    changeMonth: true,
	    changeYear: true,
	    onClose: function(dateText, inst) {
	        var startDateTextBox = jQuery('.dynFrm_arrival_on');
	        if (startDateTextBox.val() != '') {
	            var testStartDate = new Date(startDateTextBox.val());
	            var testEndDate = new Date(dateText);
	            if (testStartDate > testEndDate)
	                startDateTextBox.val(dateText);
	        }
	    },
	    onSelect: function (selectedDateTime){
	        var end = jQuery(this).datepicker('getDate');
	        jQuery('.dynFrm_arrival_on').datepicker('option', 'maxDate', new Date(end.getTime()) );
	        jQuery('#dynFrm_arrival_on').datepicker('option', 'maxDate', new Date(end.getTime()) );
	    }
		});
		</script>
		</div>
		
		<table class="w100 formTable">
		<tr>
		<td class="w33 headVr ar b p7px"><p><b class="star">*</b> Description <br><span class="small">[ upto 2000 characters ]</span></p>
		</td>
		<td class="data p7px"><textarea name="dynFrm_travel_plan_requirement" maxlength="2000" placeholder="Tell us about your requirements." class="w95" style="height:120px;"></textarea></td>
		</tr>
					<tr>
			<td class="w33 headVr ar b p7px"><b class="star">*</b> Enter Code</td>
			<td class="data p7px"><input type="text" name="code" class="input p7px br5px gbiwb lightbg1 w100px" value="" /> <img src="https://www.tourtravelworld.com/securimage_show.php?sid=f65971dd73c23e259b99021ab5a3967d" id="image" class="vam bdr p2px ml5px" alt="" title="" /> &nbsp; <a href="javascript:void(0);" onclick="document.getElementById('image').src = 'https://www.tourtravelworld.com/securimage_show.php?sid=' + Math.random(); return false"  title="" ><img src="https://www.tourtravelworld.com/images/update_proIcon.gif" alt="Reload Image"  class="vam" title="Reload Image" /></a></td>
			</tr>
					</table>
		<br>
		<table class="w100 formTable">
		<tr>
		<td colspan="2" class="headHr p7px b">Fill Your Personal Information</td>
		</tr>
		<tr>
		<td class="w33 headVr ar b p7px"><b class="star">*</b> Your Name</td>
		<td class="data p7px"><input type="text" name="dynFrm_your_name" class="input w45 gbiwb p5px" value=""></td>
		</tr>
		<tr>
		<td class="w33 headVr ar b p7px"><b class="star">*</b> Your E-mail</td>
		<td class="data p7px"><input type="text" name="dynFrm_your_e_mail" class="input w45 gbiwb p5px" value=""></td>
		</tr>
		<tr>
		<td class="w33 headVr ar b p7px"><b class="star">*</b> Select Country</td>
		<td class="p7px data">
		<select name="dynFrm_country" class="w48" onchange="if (this.value=='IN^+91') { document.getElementById('indian_state').style.display=''; } else { document.getElementById('indian_state').style.display='none'; }; document.getElementById('phone_isd').value=this.value.substr(3, 3);">
		<option value="">Select Country</option>
					
			<option value="AF^+93" >Afghanistan</option>
		
						
			<option value="CF^+236" >African Republic</option>
		
						
			<option value="AL^+355" >Albania</option>
		
						
			<option value="DZ^+213" >Algeria</option>
		
						
			<option value="AS^+0" >American Samoa</option>
		
						
			<option value="AD^+376" >Andorra</option>
		
						
			<option value="AO^+244" >Angola</option>
		
						
			<option value="AI^+264" >Anguilla</option>
		
						
			<option value="AG^+268" >Antigua and Barbuda</option>
		
						
			<option value="AR^+54" >Argentina</option>
		
						
			<option value="AM^+374" >Armenia</option>
		
						
			<option value="AW^+297" >Aruba</option>
		
						
			<option value="AU^+61" >Australia</option>
		
						
			<option value="AT^+43" >Austria</option>
		
						
			<option value="AZ^+994" >Azerbaijan</option>
		
						
			<option value="BS^+242" >Bahamas</option>
		
						
			<option value="BH^+973" >Bahrain</option>
		
						
			<option value="BD^+880" >Bangladesh</option>
		
						
			<option value="BB^+246" >Barbados</option>
		
						
			<option value="BY^+375" >Belarus</option>
		
						
			<option value="BE^+32" >Belgium</option>
		
						
			<option value="BZ^+501" >Belize</option>
		
						
			<option value="BJ^+229" >Benin</option>
		
						
			<option value="BM^+441" >Bermuda</option>
		
						
			<option value="BT^+975" >Bhutan</option>
		
						
			<option value="BO^+591" >Bolivia</option>
		
						
			<option value="BA^+387" >Bosnia and Herzegovina</option>
		
						
			<option value="BW^+267" >Botswana</option>
		
						
			<option value="BV^+47" >Bouvet</option>
		
						
			<option value="BR^+55" >Brazil</option>
		
						
			<option value="BN^+673" >Brunei</option>
		
						
			<option value="BG^+359" >Bulgaria</option>
		
						
			<option value="BF^+226" >Burkina</option>
		
						
			<option value="BF^+0" >Burkina Faso</option>
		
						
			<option value="BI^+257" >Burundi</option>
		
						
			<option value="KH^+855" >Cambodia</option>
		
						
			<option value="CM^+237" >Cameroon</option>
		
						
			<option value="CA^+1" >Canada</option>
		
						
			<option value="CV^+238" >Cape Verde</option>
		
						
			<option value="KY^+345" >Cayman Islands</option>
		
						
			<option value="236^+236" >Central African Republic</option>
		
						
			<option value="TD^+235" >Chad</option>
		
						
			<option value="IO^+246" >Chagos</option>
		
						
			<option value="CL^+56" >Chile</option>
		
						
			<option value="CN^+86" >China</option>
		
						
			<option value="CX^+61" >Christmas Island</option>
		
						
			<option value="CC^+61" >Cocos</option>
		
						
			<option value="CO^+57" >Colombia</option>
		
						
			<option value="KM^+269" >Comoros</option>
		
						
			<option value="CG^+242" >Congo</option>
		
						
			<option value="CK^+682" >Cook Islands</option>
		
						
			<option value="RCI^+506" >Costa Rica</option>
		
						
			<option value="HR^+385" >Croatia</option>
		
						
			<option value="CU^+53" >Cuba</option>
		
						
			<option value="CY^+357" >Cyprus</option>
		
						
			<option value="CZ^+420" >Czech Republic</option>
		
						
			<option value="DK^+45" >Denmark</option>
		
						
			<option value="DJ^+253" >Djibouti</option>
		
						
			<option value="DM^+767" >Dominica</option>
		
						
			<option value="DO^+809" >Dominican Republic</option>
		
						
			<option value="TP^+670" >East Timor</option>
		
						
			<option value="EC^+593" >Ecuador</option>
		
						
			<option value="EG^+20" >Egypt</option>
		
						
			<option value="SV^+503" >El Salvador</option>
		
						
			<option value="GQ^+0" >Equatorial Guinea</option>
		
						
			<option value="ER^+291" >Eritrea</option>
		
						
			<option value="EE^+372" >Estonia</option>
		
						
			<option value="ET^+251" >Ethiopia</option>
		
						
			<option value="FO^+298" >Faroe</option>
		
						
			<option value="FM^+691" >Federated States of Micronesia</option>
		
						
			<option value="FJ^+679" >Fiji</option>
		
						
			<option value="FI^+358" >Finland</option>
		
						
			<option value="FR^+33" >France</option>
		
						
			<option value="FX^+590" >France, Metropolitan</option>
		
						
			<option value="GF^+594" >French Guiana</option>
		
						
			<option value="FP^+689" >French Polynesia</option>
		
						
			<option value="TF^+590" >French Southern Territories</option>
		
						
			<option value="GA^+241" >Gabon</option>
		
						
			<option value="GM^+220" >Gambia</option>
		
						
			<option value="GE^+995" >Georgia</option>
		
						
			<option value="DE^+49" >Germany</option>
		
						
			<option value="GH^+233" >Ghana</option>
		
						
			<option value="GI^+350" >Gibraltar</option>
		
						
			<option value="GR^+30" >Greece</option>
		
						
			<option value="GL^+299" >Greenland</option>
		
						
			<option value="GD^+809" >Grenada</option>
		
						
			<option value="Gre^+473" >Grenada</option>
		
						
			<option value="GP^+590" >Guadeloupe</option>
		
						
			<option value="GU^+1" >Guam</option>
		
						
			<option value="GT^+502" >Guatemala</option>
		
						
			<option value="GN^+224" >Guinea</option>
		
						
			<option value="GW^+245" >Guinea-bissau</option>
		
						
			<option value="GY^+592" >Guyana</option>
		
						
			<option value="HT^+509" >Haiti</option>
		
						
			<option value="HM^+61" >Heard and Mc Donald Islands</option>
		
						
			<option value="HN^+504" >Honduras</option>
		
						
			<option value="HU^+36" >Hungary</option>
		
						
			<option value="IS^+354" >Iceland</option>
		
						
			<option value="IN^+91" >India</option>
		
						
			<option value="ID^+62" >Indonesia</option>
		
						
			<option value="IR^+98" >Iran</option>
		
						
			<option value="IQ^+964" >Iraq</option>
		
						
			<option value="IE^+353" >Ireland</option>
		
						
			<option value="IL^+972" >Israel</option>
		
						
			<option value="IT^+39" >Italy</option>
		
						
			<option value="CI^+225" >Ivory Coast</option>
		
						
			<option value="JM^+876" >Jamaica</option>
		
						
			<option value="JP^+81" >Japan</option>
		
						
			<option value="JO^+962" >Jordan</option>
		
						
			<option value="KZ^+7" >Kazakhstan</option>
		
						
			<option value="KE^+254" >Kenya</option>
		
						
			<option value="KI^+686" >Kiribati</option>
		
						
			<option value="KW^+965" >Kuwait</option>
		
						
			<option value="KG^+996" >Kyrgyzstan</option>
		
						
			<option value="LA^+856" >Lao People's Democratic Republic</option>
		
						
			<option value="LA^+856" >Laos</option>
		
						
			<option value="LV^+371" >Latvia</option>
		
						
			<option value="LB^+961" >Lebanon</option>
		
						
			<option value="LS^+266" >Lesotho</option>
		
						
			<option value="LR^+231" >Liberia</option>
		
						
			<option value="LY^+218" >Libya</option>
		
						
			<option value="LI^+423" >Liechtenstein</option>
		
						
			<option value="LT^+370" >Lithuania</option>
		
						
			<option value="LU^+352" >Luxembourg</option>
		
						
			<option value="MO^+853" >Macau</option>
		
						
			<option value="MK^+389" >Macedonia</option>
		
						
			<option value="MG^+261" >Madagascar</option>
		
						
			<option value="MW^+265" >Malawi</option>
		
						
			<option value="MY^+60" >Malaysia</option>
		
						
			<option value="MV^+960" >Maldives</option>
		
						
			<option value="ML^+223" >Mali</option>
		
						
			<option value="MT^+356" >Malta</option>
		
						
			<option value="FK^+500" >Malvinas</option>
		
						
			<option value="MH^+692" >Marshall Islands</option>
		
						
			<option value="MQ^+596" >Martinique</option>
		
						
			<option value="MR^+222" >Mauritania</option>
		
						
			<option value="MU^+230" >Mauritius</option>
		
						
			<option value="YT^+269" >Mayotte</option>
		
						
			<option value="MX^+52" >Mexico</option>
		
						
			<option value="MD^+0" >Moldova</option>
		
						
			<option value="MD^+373" >Moldova (Republic of Moldova)</option>
		
						
			<option value="MC^+377" >Monaco</option>
		
						
			<option value="MN^+976" >Mongolia</option>
		
						
			<option value="ME^+381" >Montenegro</option>
		
						
			<option value="MS^+664" >Montserrat</option>
		
						
			<option value="MA^+212" >Morocco</option>
		
						
			<option value="MZ^+258" >Mozambique</option>
		
						
			<option value="MM^+95" >Myanmar</option>
		
						
			<option value="NA^+264" >Namibia</option>
		
						
			<option value="NR^+674" >Nauru</option>
		
						
			<option value="NP^+977" >Nepal</option>
		
						
			<option value="NL^+31" >Netherlands</option>
		
						
			<option value="AN^+599" >Netherlands Antilles</option>
		
						
			<option value="NC^+687" >New Caledonia</option>
		
						
			<option value="PG^+675" >New Guinea</option>
		
						
			<option value="NZ^+64" >New Zealand</option>
		
						
			<option value="NI^+505" >Nicaragua</option>
		
						
			<option value="NE^+227" >Niger</option>
		
						
			<option value="NG^+234" >Nigeria</option>
		
						
			<option value="NU^+683" >Niue</option>
		
						
			<option value="NF^+672" >Norfolk Island</option>
		
						
			<option value="KP^+850" >North Korea</option>
		
						
			<option value="MP^+670" >Northern Mariana Islands</option>
		
						
			<option value="NO^+47" >Norway</option>
		
						
			<option value="OM^+968" >Oman</option>
		
						
			<option value="PK^+92" >Pakistan</option>
		
						
			<option value="PW^+680" >Palau</option>
		
						
			<option value="PA^+507" >Panama</option>
		
						
			<option value="PG^+0" >Papua New Guinea</option>
		
						
			<option value="PY^+595" >Paraguay</option>
		
						
			<option value="PE^+51" >Peru</option>
		
						
			<option value="PH^+63" >Philippines</option>
		
						
			<option value="PN^+872" >Pitcairn</option>
		
						
			<option value="PL^+48" >Poland</option>
		
						
			<option value="PF^+689" >Polynesia</option>
		
						
			<option value="PT^+351" >Portugal</option>
		
						
			<option value="PR^+1-787" >Puerto Rico</option>
		
						
			<option value="QA^+974" >Qatar</option>
		
						
			<option value="RE^+262" >Reunion</option>
		
						
			<option value="RO^+40" >Romania</option>
		
						
			<option value="RU^+7" >Russia</option>
		
						
			<option value="RW^+250" >Rwanda</option>
		
						
			<option value="KN^+869" >Saint Kitts and Nevis</option>
		
						
			<option value="LC^+758" >Saint Lucia</option>
		
						
			<option value="VC^+784" >Saint Vincent and the Grenadines</option>
		
						
			<option value="WS^+685" >Samoa</option>
		
						
			<option value="SM^+378" >San Marino</option>
		
						
			<option value="ST^+239" >Sao Tome And Principe</option>
		
						
			<option value="SA^+966" >Saudi Arabia</option>
		
						
			<option value="SN^+221" >Senegal</option>
		
						
			<option value="RS^+381" >Serbia</option>
		
						
			<option value="SC^+248" >Seychelles</option>
		
						
			<option value="SL^+232" >Sierra Leone</option>
		
						
			<option value="SG^+65" >Singapore</option>
		
						
			<option value="SK^+421" >Slovakia</option>
		
						
			<option value="SI^+386" >Slovenia</option>
		
						
			<option value="SB^+677" >Solomon Islands</option>
		
						
			<option value="SO^+252" >Somalia</option>
		
						
			<option value="ZA^+27" >South Africa</option>
		
						
			<option value="GS^+44" >South Georgia and the South Sandwich Islands</option>
		
						
			<option value="KR^+82" >South Korea</option>
		
						
			<option value="ES^+34" >Spain</option>
		
						
			<option value="LK^+94" >Sri Lanka</option>
		
						
			<option value="SH^+290" >St. Helena</option>
		
						
			<option value="PM^+508" >St. Pierre and Miquelon</option>
		
						
			<option value="SD^+249" >Sudan</option>
		
						
			<option value="SR^+597" >Suriname</option>
		
						
			<option value="SJ^+47" >Svalbard and Jan Mayen Islands</option>
		
						
			<option value="SZ^+268" >Swaziland</option>
		
						
			<option value="SE^+46" >Sweden</option>
		
						
			<option value="CH^+41" >Switzerland</option>
		
						
			<option value="SY^+963" >Syria</option>
		
						
			<option value="TW^+886" >Taiwan</option>
		
						
			<option value="TJ^+7" >Tajikistan</option>
		
						
			<option value="TZ^+255" >Tanzania</option>
		
						
			<option value="TH^+66" >Thailand</option>
		
						
			<option value="TG^+228" >Togo</option>
		
						
			<option value="TK^+64" >Tokelau</option>
		
						
			<option value="TO^+676" >Tonga</option>
		
						
			<option value="TT^+868" >Trinidad and Tobago</option>
		
						
			<option value="TN^+216" >Tunisia</option>
		
						
			<option value="TR^+90" >Turkey</option>
		
						
			<option value="TM^+993" >Turkmenistan</option>
		
						
			<option value="TC^+649" >Turks and Caicos Islands</option>
		
						
			<option value="TV^+688" >Tuvalu</option>
		
						
			<option value="AE^+971" >UAE</option>
		
						
			<option value="UG^+256" >Uganda</option>
		
						
			<option value="UA^+380" >Ukraine</option>
		
						
			<option value="UK^+44" >United Kingdom</option>
		
						
			<option value="UM^+1" >United States Minor Outlying Islands</option>
		
						
			<option value="UY^+598" >Uruguay</option>
		
						
			<option value="US^+1" >USA</option>
		
						
			<option value="UZ^+998" >Uzbekistan</option>
		
						
			<option value="VU^+678" >Vanuatu</option>
		
						
			<option value="VA^+0" >Vatican City</option>
		
						
			<option value="VA^+39" >Vatican City State (Holy See)</option>
		
						
			<option value="VE^+58" >Venezuela</option>
		
						
			<option value="VN^+84" >Vietnam</option>
		
						
			<option value="VG^+1" >Virgin Islands (British)</option>
		
						
			<option value="VI^+1" >Virgin Islands (U.S.)</option>
		
						
			<option value="WF^+681" >Wallis and Futuna Islands</option>
		
						
			<option value="EH^+212" >Western Sahara</option>
		
						
			<option value="YE^+967" >Yemen</option>
		
						
			<option value="YU^+381" >Yugoslavia</option>
		
						
			<option value="ZR^+243" >Zaire</option>
		
						
			<option value="ZM^+260" >Zambia</option>
		
						
			<option value="ZW^+263" >Zimbabwe</option>
		
					</select>
		</td>
		</tr>
		
				
		<tr id="indian_state" style="display:none;">
		<td class="w33 headVr ar b p7px"><b class="star">*</b> State</td>
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						<option value="15754" >Daman & Diu</option>
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						<option value="10007" >Himachal Pradesh</option>
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						<option value="10033" >Nagaland</option>
						<option value="10027" >Odisha</option>
						<option value="10010" >Punjab</option>
						<option value="10011" >Rajasthan</option>
						<option value="10029" >Sikkim</option>
						<option value="10019" >Tamil Nadu</option>
						<option value="15938" >Telangana</option>
						<option value="10032" >Tripura</option>
						<option value="10012" >Uttar Pradesh</option>
						<option value="10013" >Uttarakhand</option>
						<option value="10030" >West Bengal</option>
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