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<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/xhtml" lang="zxx">
<?php include 'include/head.php'; ?>
<body>
<!-- <div id="preloader">
<div id="status"></div>
</div> -->
<?php include 'include/header1.php'; ?>
<section class="breadcrumb-outer text-center">
<div class="container">
<div class="breadcrumb-content bred">
<h2>Request a booking</h2>
<nav aria-label="breadcrumb">
<ul class="breadcrumb">
<li class="breadcrumb-item"><a href="index.php">Home</a></li>
<li class="breadcrumb-item active" aria-current="page">Contact us</li>
</ul>
</nav>
</div>
</div>
<div class="section-overlay"></div>
</section>
<section class="contact">
<div class="container">
<div class="row">
<div class="col-lg-12 col-md-12">
<div id="contact-form" class="contact-form">
<div id="contactform-error-msg"></div>
<form method="post" action="#" name="contactform" id="contactform">
<div class="row">
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>First Name:</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Last Name:</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Email:</label>
<input type="email" name="email" class="form-control" id="email"
placeholder="abc@xyz.com" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6 ps-md-0">
<label>Phone Number:</label>
<input type="text" name="phone" class="form-control" id="phnumber"
placeholder="XXXX-XXXXXX" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Street Address:</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>City:</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>State:</label>
<select class="wide">
<!--- India states -->
<option value="">Select state</option>
<option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
<option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Arunachal Pradesh">Arunachal Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chandigarh">Chandigarh</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Dadra and Nagar Haveli">Dadra and Nagar Haveli</option>
<option value="Daman and Diu">Daman and Diu</option>
<option value="Delhi">Delhi</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal Pradesh">Himachal Pradesh</option>
<option value="Jammu and Kashmir">Jammu and Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="KA">Karnataka</option>
<option value="Karnataka">Kerala</option>
<option value="Ladakh">Ladakh</option>
<option value="Lakshadweep">Lakshadweep</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Puducherry">Puducherry</option>
<option value="Punjab">Punjab</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Telangana">Telangana</option>
<option value="Tripura">Tripura</option>
<option value="Uttar Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West Bengal">West Bengal</option>
</select>
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>ZipCode:</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Country of Residence:</label>
<select class="wide">
<option >Please Select</option>
<option value="India">India</option>
</select>
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Desired Travel Month:</label>
<select class="wide">
<option >Please Select</option>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option>
</select>
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Desired Travel Year:</label>
<select class="wide">
<option >Please Select</option>
<option value="202">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option></select>
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Have you travelled with us before?:</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="textarea mb-3 col-lg-12">
<label>How many people will be in your party?</label>
<textarea name="comments" placeholder="Enter a message" required></textarea>
</div>
<div class="form-group mb-3 col-lg-6 col-md-6">
<label>Are there any children travelling in your group?</label>
<input type="text" name="full_name" class="form-control" id="Name"
placeholder="Enter full name" required />
</div>
<div class="textarea mb-3 col-lg-12">
<label>What is your estimated travel budget per person?</label>
<textarea name="comments" placeholder="Enter a message" required></textarea>
</div>
<div class="textarea mb-3 col-lg-12">
<label>Do you work with a travel advisor to arrange your travel?</label>
<select class="wide">
<option >Please Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select>
</div>
<div class="textarea mb-3 col-lg-12">
<label>Tell us about yourself and ask us any questions here.</label>
<textarea name="comments" placeholder="Enter a message" required></textarea>
</div>
<div class="col-lg-12">
<div class="comment-btn">
<input type="submit" class="btn-blue btn-red" id="submit"
value="Send Message" />
</div>
</div>
</div>
</form>
</div>
</div>
<!-- <div class="col-lg-4 col-md-5">
<div class="contact-about footer-margin">
<div class="about-logo">
<img src="images/Yatra-01.png" alt="Image" />
</div>
<h4>Travel With Us</h4>
<p>Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt.
</p>
<div class="contact-location">
<ul>
<li><i class="flaticon-maps-and-flags" aria-hidden="true"></i> Location</li>
<li><i class="flaticon-phone-call"></i> (012)-345-6789</li>
<li><i class="flaticon-mail"></i> <a
href="https://htmldesigntemplates.com/cdn-cgi/l/email-protection"
class="__cf_email__"
data-cfemail="81f5eef4f3eff5f3e0f7e4edc1f5e4f2f5ece0e8edafe2eeec">[email protected]</a>
</li>
</ul>
</div>
<div class="footer-social-links">
<ul>
<li class="social-icon">
<a href="#"><i class="fa fa-facebook" aria-hidden="true"></i></a>
</li>
<li class="social-icon">
<a href="#"><i class="fa fa-instagram" aria-hidden="true"></i></a>
</li>
<li class="social-icon">
<a href="#"><i class="fa fa-twitter" aria-hidden="true"></i></a>
</li>
<li class="social-icon">
<a href="#"><i class="fa fa-youtube" aria-hidden="true"></i></a>
</li>
<li class="social-icon">
<a href="#"><i class="fa fa-google" aria-hidden="true"></i></a>
</li>
</ul>
</div>
</div>
</div>
-->
</div>
</div>
</section>
<?php include 'include/footer.php'; ?>
<div id="back-to-top">
<a href="#"></a>
</div>
<script data-cfasync="false" src="js/email-decode.min.js"></script>
<script src="js/jquery-3.2.1.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/plugin.js"></script>
<script src="js/map.js"></script>
<script src="js/main.js"></script>
<script
src="https://maps.googleapis.com/maps/api/js?key=AIzaSyB4JwWo5VPt9WyNp3Ne2uc2FMGEePHpqJ8&callback=initMap"
async defer></script>
<script src="js/preloader.js"></script>
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