﻿document.write("<form name='reservations_form' onsubmit='return validation()' method='post' action='files/send-quick-reservation.php'><div id='divbook'><div style='font-size: large'>Quick Booking<br /><br /></div><div class='divheight30'>Name:&nbsp;<span class='red'>*</span> <input type='text' maxlength='60' size='25' value='' name='name' /></div><div class='divheight30'>E-mail:<span class='red'>*</span> <input type='text' maxlength='60' size='25' value='' name='email' /></div>")
document.write("<div class='divheight30'>Phone:<span class='red'>*</span> <input type='text' maxlength='12' size='12' value='' name='phone' /></div><div class='divheight30'>Pick Up Date: <select id='PUMonth' name='PUMonth'><option value='Jan' selected='selected'>Jan</option><option value='Feb'>Feb</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='Aug'>Aug</option><option value='Sep'>Sep</option><option value='Oct'>Oct</option><option value='Nov'>Nov</option><option value='Dec'>Dec</option></select>")
document.write("<select id='PUDay' name='PUDay'><option value='1st' selected='selected'>1</option><option value='2nd'>2</option><option value='3rd'>3</option><option value='4th'>4</option><option value='5th'>5</option><option value='6th'>6</option><option value='7th'>7</option><option value='8th'>8</option><option value='9th'>9</option><option value='10th'>10</option><option value='11th'>11</option><option value='12th'>12</option><option value='13th'>13</option><option value='14th'>14</option><option value='15th'>15</option><option value='16th'>16</option><option value='17th'>17</option><option value='18th'>18</option><option value='19th'>19</option><option value='20th'>20</option><option value='21st'>21</option><option value='22nd'>22</option><option value='23rd'>23</option><option value='24th'>24</option><option value='25th'>25</option><option value='26th'>26</option><option value='27th'>27</option><option value='28th'>28</option><option value='29th'>29</option><option value='30th'>30</option><option value='31st'>31</option></select>")
document.write("<select id='PUYear' name='PUYear'><option value='2008' selected='selected'>2011</option><option value='2012'>2012</option><option value='2013'>2013</option><option value='2014'>2014</option><option value='2015'>2015</option><option value='2016'>2016</option></select></div>")
document.write("<div class='divheight30'>Pick Up Time: <select id='PUHours' name='PUHours'><option value='01' selected='selected'>01</option><option value='02'>02</option><option value='03'>03</option><option value='04'>04</option><option value='05'>05</option><option value='06'>06</option><option value='07'>07</option><option value='08'>08</option><option value='09'>09</option><option value='10'>10</option><option value='11'>11</option><option value='12'>12</option></select>:<select id='PUMinutes' name='PUMinutes'><option value='00' selected='selected'>00</option><option value='05'>05</option><option value='10'>10</option><option value='15'>15</option><option value='20'>20</option><option value='25'>25</option><option value='30'>30</option><option value='35'>35</option><option value='40'>40</option><option value='45'>45</option><option value='50'>50</option><option value='55'>55</option></select>")
document.write("<select id='PUAp' name='PUAp'><option value='AM' selected='selected'>AM</option><option value='PM'>PM</option></select></div><div class='divheight30'>Number of Passengers: <input type='text' size='10' value='' name='PassengersV' /></div><div>Pick Up Address: </div><div class='divheight30'><input type='text' size='40' value='' name='PUAddress' /></div><div>Drop Off Address: </div><div class='divheight30'><input type='text' size='40' value='' name='DOAddress' /></div>")
document.write("<div>Special Instructions: </div><div><textarea name='Message' cols='32' rows='3'></textarea><br /></div></div><div>Enter code shown in image:<span class='red'>*</span><br /><input type='text' style='vertical-align:top;'  name='protectwebformcode' value=''><img src='http://protectwebform.com/image/42689/' alt='recaptcha'></div><div><input type='submit' value='&nbsp;&nbsp;Submit&nbsp;&nbsp;' name='Submit' />&nbsp;&nbsp;<input type='reset' name='button2' id='button2' value='&nbsp;&nbsp;Reset&nbsp;&nbsp;'/></div></form><img src='images/title-bg.gif' alt='' width='272' height='18' /><br /><br />")
