document.writeln('<div id=fdiv2>\n\n\n<script>\nfunction _fbcheck_2(f) \n{ \n  if (f.e.value!=f.e2.value) { alert(\"Please check that your email address has been entered correctly\"); f.e2.focus(); return false; }\n  if (f.privatetf.value==\"\") { alert(\"Please select a private transfer\"); f.privatetf.focus(); return false; } \n  if (f.datearrival.value==\"\") { alert(\"Please enter the date of arrival\"); f.datearrival.focus(); return false; }\n  if (f.collecttime.value==\"\") { alert(\"Please enter the time you would like to be collected\"); f.collecttime.focus(); return false; } \n  if (f.peopletotal.value==\"\") { alert(\"Please enter people in total\"); f.peopletotal.focus(); return false; } \n\n  $(\'input[type=\"submit\"]\').attr(\'disabled\',\'disabled\');\n\n}\n$(function() {\n        //$( \"#datepicker\" ).datepicker();\n		$(\"#datepicker\").datepicker({ dateFormat: \"DD, d MM, yy\" }).val();\n\n    });\n<\/script>\n<style>\n.private-cruise input {width:190px;}\n.private-cruise input[type=\"submit\"] {padding:5px;width:100px;}\n<\/style>\n\n	<form method=\"post\" action=\"feedback.php?form=cruisetoursform\" target=\"_irs\" onsubmit=\"return _fbcheck_2(this)\" id=\"form_msignup\" style=\"font-size:12px;\">\n	<input type=hidden name=fdiv value=\"fdiv2\">\n	<input type=hidden name=token value=\"0a0df14abd8640babe8832678a7b0980\">\n	<input type=hidden name=affiliate value=\"\">\n	<input type=hidden name=\"cc[e][]\" value=\"tom@internationalfriends.co.uk\">\n	<input type=hidden name=\"cc[n][]\" value=\"Tom Huang\">\n	\n		<table width=\"100%\" class=\"private-cruise\">\n		<tr><td colspan=\"2\"><font color=\"red\">* = required field<\/font><br /><br /><\/td><\/tr>\n			<tr><td width=\"300\">Request for a quotation for a private transfer from <font color=\"red\">*<\/font><\/td>\n				<td>\n				<select name=\"privatetf\" required=\"\">\n				<option value =\"\">- Please Select -<\/option>\n				<option value =\"Southampton to London or airport\">Southampton to London or airport<\/option>\n				<option value =\"London or airport to Southampton\">London or airport to Southampton<\/option>\n				<option value =\"Harwich to London or airport\">Harwich to London or airport<\/option>\n				<option value =\"London or airport to Harwich\">London or airport to Harwich<\/option>\n				<option value =\"Dover to London or airport\">Dover to London or airport<\/option>\n				<option value =\"London or airport to Dover\">London or airport to Dover<\/option>\n				<option value =\"Dublin private shore excursion – ship to ship\">Dublin private shore excursion – ship to ship<\/option>\n				<option value =\"Belfast private shore excursion – ship to ship\">Belfast private shore excursion – ship to ship<\/option>\n				<option value =\"Edinburgh private shore excursion – ship to ship\">Edinburgh private shore excursion – ship to ship<\/option>\n				<option value =\"Southampton private shore excursions – ship to ship\">Southampton private shore excursions – ship to ship<\/option>\n				<option value =\"Harwich private shore excursions – ship to ship\">Harwich private shore excursions – ship to ship<\/option>\n				<option value =\"Other\">Other<\/option>\n				<\/select>\n				<\/td>\n			<\/tr>\n			<tr>\n				<td>Name <font color=\"red\">*<\/font><\/td>\n				<td><input name=\"n\" required=\"\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>Email Address<font color=\"red\">*<\/font><\/td>\n				<td><input name=\"e\" required=\"\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>Re-type Email Address<font color=\"red\">*<\/font><\/td>\n				<td>\n				<input required=\"\" name=e2>\n				<\/td>\n			<\/tr>\n			<tr>\n				<td>Contact Number <font color=\"red\">*<\/font><\/td>\n				<td><input name=\"c\" required=\"\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>Date of arrival <font color=\"red\">*<\/font><\/td>\n				<td><input name=\"datearrival\" id=\"datepicker\" required=\"\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>Time you would like to be collected <font color=\"red\">*<\/font><\/td>\n				<td><input name=\"collecttime\" required=\"\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>If you have an onwards journey connection, please indicate your check-in time<\/td>\n				<td><input name=\"checkintime\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>How many people in total <font color=\"red\">*<\/font><\/td>\n				<td><input name=\"peopletotal\" type=\"number\" required=\"\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>How many large suitcases do you expect to bring<\/td>\n				<td><input name=\"largesuitcases\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>How many medium suit cases do you expect to bring<\/td>\n				<td><input name=\"mediumsuitcases\" /><\/td>\n			<\/tr>\n			<tr>\n				<td>Name of hotel or your destination address (EG Heathrow Terminal 3)<\/td>\n				<td><textarea name=\"address\" rows=\"5\" style=\"width:400px;\"><\/textarea><\/td>\n			<\/tr>\n			<tr>\n				<td>Please use the box below for letting us know any additional information (such as places you would like to visit)<\/td>\n				<td><textarea name=\"information\" rows=\"5\" style=\"width:400px;\"><\/textarea><\/td>\n			<\/tr>\n			<tr><td><\/td><td align=\"left\"><input value=\"Send\" type=\"submit\" id=\"btn-submit\"/><\/td><\/tr>\n		<\/table>\n	<\/form>\n\n</div><div style="display:none"><iframe width=1 height=1 name=_irs></iframe></div>');