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@ -33,7 +33,7 @@ |
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</t> |
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<h6>Total Price : <span id="booking_total_price"></span></h6> |
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<form id="form1" action="questionnaire" method="post" class="form js_website_submit_form"> |
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<div class="form-group s_website_form_field col- s_website_form_custom s_website_form_required " data-type="char" data-name="Field"> |
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<div class="row s_col_no_resize s_col_no_bgcolor"> |
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<label class="col-form-label col-sm-auto s_website_form_label" style="width: 400px"> |
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@ -41,7 +41,7 @@ |
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</label> |
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<div class="col- col-sm- col-md-"> |
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<select id="down_payment" name="down_payment" class="form-control s_website_form_input"> |
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<select form="form1" id="down_payment" name="down_payment" class="form-control s_website_form_input"> |
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<option name="yes" value="true" label="Oui"></option> |
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<option name="no" selected="false" value="false" label="Non"></option> |
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@ -53,7 +53,7 @@ |
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<br></br> |
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<h6>Please select your booking options :</h6> |
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<br></br> |
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<form id="form1" action="questionnaire" method="post" class="form js_website_submit_form"> |
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<input type="hidden" id="booking_price_product" name="price_product" t-att-value="int(price)"/> |
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<input type="hidden" id="booking_price" name="booking_price" t-att-value="int(event.booking_price)"/> |
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@ -243,25 +243,25 @@ |
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</div> |
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</div> |
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<h6>Please provide us with the contact details of a loved one in the event of a problem encountered during your stay:</h6> |
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<div class="form-group s_website_form_field col-6 s_website_form_custom" data-type="char" data-name="Field"> |
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<div class="form-group s_website_form_field col-6 s_website_form_required" data-type="char" data-name="Field"> |
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<div class="row s_col_no_resize s_col_no_bgcolor"> |
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<label class="col-form-label col-sm-auto s_website_form_label" style="width: 200px" for="9ois9pkv0wv"> |
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<span class="s_website_form_label_content">Name of the contact</span> |
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<span class="s_website_form_mark"></span> |
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</label> |
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<span class="s_website_form_mark"> *</span> |
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<div class="col-12 col-sm-12 col-md-6 col-lg-4 col-xl-3"> |
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<input type="text" class="form-control s_website_form_input" name="medical_contact_name" value="" id="medical_contact_name" style="cursor: auto;"/> |
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<input type="text" class="form-control s_website_form_input" name="medical_contact_name" value="" required="1" id="medical_contact_name" style="cursor: auto;"/> |
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</div> |
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</div> |
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</div> |
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<div class="form-group s_website_form_field col-6 s_website_form_custom " data-type="char" data-name="Field"> |
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<div class="form-group s_website_form_field col-6 s_website_form_required" data-type="char" data-name="Field"> |
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<div class="row s_col_no_resize s_col_no_bgcolor"> |
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<label class="col-form-label col-sm-auto s_website_form_label" style="width: 200px" for="9ois9pkv0wv"> |
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<span class="s_website_form_label_content">Phone of the contact</span> |
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<span class="s_website_form_mark"></span> |
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</label> |
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<span class="s_website_form_mark"> *</span> |
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<div class="col-12 col-sm-12 col-md-6 col-lg-4 col-xl-3"> |
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<input type="text" class="form-control s_website_form_input" name="medical_contact_phone" value="" id="medical_contact_phone" style="cursor: auto;"/> |
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<input type="text" class="form-control s_website_form_input" name="medical_contact_phone" value="" required="1" id="medical_contact_phone" style="cursor: auto;"/> |
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</div> |
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</div> |
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</div> |
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