<style>
    .footer_cls
    {
        display:none;
    }
</style>
<link rel="stylesheet" id="style_form-css" href="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/my-booking-genie/assets/css/bootstrap-responsive.css" type="text/css" media="all">
<style type="text/css">
div#top-bar-menu {
    display: none;
}
.footer_cls {
    display:none;
}
</style>

                        <input type="submit" style="text-align:center; font:bold 24px 'Trebuchet MS', Arial, Helvetica, sans-serif; color:#fff; border-radius:6px; background:#bb2733; border:none; padding:7px 15px; cursor:pointer; margin-bottom:20px" value="SUBMIT MY PAYMENT" name="submit1">
                    </div>
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    </form>
</div><link rel="stylesheet" id="mbg_easy_style_form-css" href="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/my-booking-genie/assets/css/mbg_easy_style.css" type="text/css" media="all">
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<style>
.footer_cls, .title h1
{
	display:none;
}
div#top-bar-menu {
    display: none;
}

</style>
<div class="sing_up_form"><div class="container"><h1>Start Packing!</h1>
	<span class="SmallH1">You have submitted your reservation request for Confirmation Page</span><hr />
	<p><center>I will process your request and contact you with additional information.<br/><br/>
<strong>PLEASE NOTE: THIS IS A RESERVATION REQUEST ONLY.  YOU WILL RECEIVE A
CONFIRMATION ONCE YOUR PAYMENT HAS BEEN PROCESSED AND YOUR ROOM
ASSIGNED.</strong></center></p><p><center>If you have any questions or would like more information regarding your
trip, please contact me at:</center></p>
<center><h4>Iana Abramova</h4></center>
		<div class="phone_cls">
			<center>9174353431 * <a href="mailto:yana.abramova.travel@gmail.com?Subject=Hello" target="_top" style="text-decoration:underline">
			yana.abramova.travel@gmail.com
			</a></center><br />&nbsp;
		</div>
</div>
</div><link rel="stylesheet" id="style_form-css" href="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/my-booking-genie/assets/css/bootstrap-responsive.css" type="text/css" media="all">
<link rel="stylesheet" id="style_form-css" href="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/my-booking-genie/assets/css/mbg_easy_style.css" type="text/css" media="all">
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<style type="text/css">
header.header > .fl-builder-content,
div#top-bar-menu {
    display: none;
}
.footer_cls
{
display:none;
}
#mm-0{
  display:none;
}
.title{
    display:none;
}
.container {
    text-align: center;
}
</style>


<div class="container">
<div class="Logo"><img src="//tap5.myagentgenie.com/ianaabramova/wp-content/uploads/sites/4142/2023/11/IMG_5707.jpg" width="200px"/></div>
<h1 class="confirm-thanks">
Thank you for submitting your payment information
</h1>

<div class="payment-footer">
<h4 class="mbg-agent-name">Iana Abramova</h4>


<h4 class="mpg-agent-info"> <a href="">
</a></h4>

<h4 class="mpg-agent-info"><a href="mailto:"></a></h4>
  
</div>
</div>
                        

  
<link rel="stylesheet" id="style_form-css" href="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/my-booking-genie/assets/css/bootstrap-responsive.css" type="text/css" media="all">
<style type="text/css">
div#top-bar-menu {
    display: none;
	
}
div.title{
	display:none;
}
.g-recaptcha {
	clear: both;
}
</style>
<!--<script src="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/orb_custom_registration/js/jquery.min.js"></script>-->
<link rel="stylesheet" href="//code.jquery.com/ui/1.11.0/themes/smoothness/jquery-ui.css">
<script src="//code.jquery.com/jquery-1.10.2.js"></script>
<script src="//code.jquery.com/ui/1.11.0/jquery-ui.js"></script>
<script src="//tap5.myagentgenie.com/ianaabramova/wp-content/plugins/my-booking-genie/assets/js/jSignature.min.noconflict.js"></script>

<script>
$(function() {
	$( ".datepicker" ).datepicker({ yearRange: "-100:+0", changeMonth: true,
		changeYear: true,
		showButtonPanel: true
	});
});

$(document).ready(function() {
	var template = $("#card");
	$("#add_filds").click(function() {
		console.log('test');
		$dup = $(template).clone();
		$("#card").append('<hr>' + $($dup).html());
	});
});

function formvalidation() {
	var cabin_category   =  $("#cabin_category").val();

	var pone_firstname   =  $("#pone_firstname").val();
	var pone_midname     =  $("#pone_midname").val();
	var pone_lastname    =  $("#pone_lastname").val();
	var pone_gender      =  $("#pone_gender").val();
	var pone_citizen     =  $("#pone_citizen").val();
	var pone_dob         =  $("#pone_dob").val();

	var travel_Insurance =	$("#travel_Insurance").val();
	var travel_Cancel    =  $("#travel_Cancel").val();
	var billing_fname    =  $("#billing_fname").val();
	var billing_lname    =  $("#billing_lname").val();
	var billing_address  =  $("#billing_address").val();
	var billing_city     =  $("#billing_city").val();
	var billing_state    =  $("#billing_state").val();
	var billing_zip      =  $("#billing_zip").val();
	var billing_phone    =  $("#billing_phone").val();
	var billing_email    =  $("#billing_email").val();

	var card_name        =  $("#card_name").val();
	var card_type        =  $("#card_type").val();
	var card_month       =  $("#card_month").val();
	var card_year        =  $("#card_year").val();
	var card_number      =  $("#card_number").val();

	var post_c      	 =  $("#post_c").val();
	var post_total       =  $("#post_total").val();

	var verbal			 =  $('input[name=verbal_approval]:checked').val();
	var concent			 =  $('#electronic_consent:checked').val();
	var sig 			 =	$('#electronic_consent_name').val();

	if(cabin_category == "") {
		alert("Please Select Cabin Category");
		jQuery("#cabin_category").focus();
		return false;
	}

	if(pone_firstname == "") {
		alert("Please Provide First Name of Traveler one ");
		jQuery("#pone_firstname").focus();
		return false;
	}

	if(pone_lastname == "") {
		alert("Please Provide Last Name of Traveler one ");
		jQuery("#pone_lastname").focus();
		return false;
	}

	if(pone_gender == "") {
		alert("Please Select Gender of Traveler one ");
		jQuery("#pone_gender").focus();
		return false;
	}

	if(pone_citizen == "") {
		alert("Please Select U. S. Citizen of Traveler one ");
		jQuery("#cabin_category").focus();
		return false;
	}

	if(pone_dob == "") {
		alert("Please Select Date of Birth of Traveler one ");
		jQuery("#pone_dob").focus();
		return false;
	}

	if(travel_Insurance == "") {
		alert("Please Select TRAVEL INSURANCE OPTIONS");
		jQuery("#travel_Insurance").focus();
		return false;
	}

	if(travel_Cancel == "") {
		alert("Please Select TRAVEL CANCELLATION INSURANCE");
		jQuery("#travel_Cancel").focus();
		return false;
	}

	if(billing_fname == "") {
		alert("Please Enter Billing First Name");
		jQuery("#billing_fname").focus();
		return false;
	}

	if(billing_lname == "") {
		alert("Please Enter Billing Last Name");
		jQuery("#billing_lname").focus();
		return false;
	}

	if(cabin_category == "") {
		alert("Please Select Cabin Category");
		jQuery("#cabin_category").focus();
		return false;
	}

	if(billing_address == "") {
		alert("Please Enter Billing Address");
		jQuery("#billing_address").focus();
		return false;
	}

	if(billing_city == "") {
		alert("Please Enter Billing city");
		jQuery("#billing_city").focus();
		return false;
	}

	if(billing_state == "") {
		alert("Please Enter Billing State");
		jQuery("#billing_state").focus();
		return false;
	}

	if(billing_zip == "") {
		alert("Please Enter Billing Zip");
		jQuery("#billing_zip").focus();
		return false;
	}

	if(billing_phone == "") {
		alert("Please Enter Billing Phone");
		jQuery("#billing_phone").focus();
		return false;
	}

	if(billing_email == "") {
		alert("Please Enter Billing Email");
		jQuery("#billing_email").focus();
		return false;
	}

	if(card_name == "") {
		alert("Please Enter Name on Card");
		jQuery("#card_name").focus();
		return false;
	}

	if(card_number == "") {
		alert("Please Enter Card Number");
		jQuery("#card_number").focus();
		return false;
	}

	if(card_type == "") {
		alert("Please Enter card type");
		jQuery("#card_type").focus();
		return false;
	}

	if(card_month == "") {
		alert("Please Enter Expiration Month");
		jQuery("#card_month").focus();
		return false;
	}

	if(card_year == "") {
		alert("Please Enter Expiration Year");
		jQuery("#card_year").focus();
		return false;
	}

		if(post_total == "") {
		alert("Please Enter Captcha");
		jQuery("#post_total").focus();
		return false;
	}

	if(post_total != post_c) {
		alert("Please Enter Correct Captcha");
		jQuery("#post_total").focus();
		return false;
	}
	}
</script>
 <style>
#add_filds:hover
{
color:#BB2733;
cursor:pointer;
}
</style>

<form class="sing_up_form" action="//tap5.myagentgenie.com/ianaabramova/confirmation-page/" name="customer_reg_form" id="payment" method="post" onsubmit="return formvalidation();">

<div class="container">
<div class="form-logo"><a href="" style="border:none">
<div class="Logo"><img src="//tap5.myagentgenie.com/ianaabramova/wp-content/uploads/sites/4142/2023/11/IMG_5707.jpg" width="200px"/></div>
</a></div>
 <h1>Customer Sign Up </h1>
<span class="SmallH1">
	</span>
<span class="cruise_date">January 01 - January 01, 1970</span>

<h4 style="">Cancellation Penalties</h4>
<span class="blnk_div">

</span>

<div class="form-area">
<div class="border-div">
	<h4>Travelers Must Have Proper Travel Documents</h4>

	<p>For international travel, excluding cruises that begin at  and return to the same U.S. port, <strong>U.S. CITIZENS MUST HAVE A VALID PASSPORT</strong>.<br/>For cruises that begin at and return to the same U.S. port, <strong>U.S. CITIZENS</strong> must have a VALID PASSPORT or original certified birth certificate w/raised seal and photo ID. <strong>NON-U.S. CITIZENS</strong> and <strong>RESIDENT ALIENS</strong> should contact their respective embassies and U.S. Immigration for applicable regulations.</p>
</div>

<div class="heading-div">
	Only <a href="" style="color:#08325a;">ONE</a> Registration Form Per Cabin/Room Please
</div>

<div class="gray-form">
	<div class="div-repeat">
		<label>Select Your Cabin/Room Category </label>
		<select name="cabin_category" id="cabin_category" ><option value="">Select Cabin Category</option>
				</select>
	</div>
	
	<span class="heading1"> TRAVELERS MUST USE THEIR LEGAL NAMES AS THEY APPEAR ON THEIR PROOF OF CITIZENSHIP TO REGISTER</span>

	<!-----------passenger one------------------------------------------------------>
	<div class="row-form2">
		<ul>
			<li>
				<label> Traveler one</label>
				<input type="text" id="pone_firstname" placeholder="First Name" name="p_one[name]" style="">
			</li>
			<li>
				<input type="text" id="pone_midname" placeholder="Middle Name"  name="p_one[mid]" style="">
			</li>
			<li>
				<input type="text" id="pone_lastname" placeholder="Last Name"   name="p_one[last]" style="">
			</li>
			<li>
				<label>Gender</label>
				<select id="pone_gender"  name="p_one[gender]"><option value="">Please Select</option><option value="male">male</option><option value="female">female</option><option value="other">other</option></select>
			</li>
			<li>
				<label>U.S. Citizen</label>
				<select id="pone_citizen" name="p_one[citizen]">
					<option value="">Please Select</option>
					<option value="yes">yes</option>
					<option value="no">no</option>
				</select>
			</li>
			<li>
				<label>Date Of Birth</label>
				<input type="text" id="pone_dob" placeholder="Date of Birth"   name="p_one[dob]" class="datepicker">
			</li>
		</ul>


		<!-----------passenger one end ------------------------------------------------------>


		<!-----------passenger two start ------------------------------------------------------>


		<ul>
			<li>
				<label> Traveler Two</label>
				<input type="text" placeholder="First Name"  name="p_two[name]">
			</li>
			<li>
				<input type="text" placeholder="Middle Name"  name="p_two[mid]" >
			</li>
			<li>
				<input type="text" placeholder="Last Name"  name="p_two[last]">
			</li>
			<li>
				<label>Gender</label>
				<select name="p_two[gender]">
					<option value="">Please Select
					<option>
					<option value="male">male</option>
					<option value="female">female</option>
					<option value="other">other</option>
				</select>
			</li>
			<li>
				<label>U.S. Citizen</label>
				<select name="p_two[citizen]"><option value="">Please Select</option><option value="yes">yes</option><option value="no">no</option></select>
			</li>
			<li>
				<label>Date of Birth</label>
				<input type="text"  placeholder="Date of Birth"   name="p_two[dob]" class="datepicker">
			</li>
		</ul>
		<!-----------end passenger two------------------------------------------------------>

		<!-----------start passenger three------------------------------------------------------>


		<ul>
			<li>
				<label> Traveler Three</label>
				<input type="text" placeholder="First Name" name="p_three[name]">
			</li>
			<li>
				<input type="text" placeholder="Middle Name" name="p_three[mid]">
			</li>
			<li>
				<input type="text" placeholder="Last Name" name="p_three[last]">
			</li>
			<li>
				<label>Gender</label>
				<select name="p_three[gender]">
					<option value="">Please Select</option>
					<option value="male">male</option>
					<option value="female">female</option>
					<option value="other">other</option>
				</select>
			</li>
			<li>
				<label >U.S. Citizen</label>
				<select name="p_three[citizen]">
					<option value="">Please Select</option>
					<option value="yes">yes</option>
					<option value="no">no</option>
				</select>
			</li>
			<li>
				<label>Date of Birth</label>
				<input type="text" placeholder="Date of Birth" name="p_three[dob]" class="datepicker">
			</li>
		</ul>

		<!-----------end passenger three------------------------------------------------------>

		<!-----------start passenger Four------------------------------------------------------>


		<ul>
			<li>
				<label> Traveler Four</label>
				<input type="text" placeholder="First Name"  name="p_four[name]"  >
			</li>
			<li>
				<input type="text" placeholder="Middle Name"  name="p_four[mid]">
			</li>
			<li>
				<input type="text" placeholder="Last Name" name="p_four[last]">
			</li>
			<li>
				<label>Gender</label>
				<select name="p_four[gender]">
					<option value="">Please Select</option>
					<option value="male">male</option>
					<option value="female">female</option>
					<option value="other">other</option>
				</select>
			</li>
			<li>
				<label>U.S. Citizen</label>
				<select name="p_four[citizen]">
					<option value="">Please Select</option>
					<option value="yes">yes</option>
					<option value="no">no</option>
				</select>
			</li>
			<li>
				<label>Date of Birth</label>
				<input type="text"  placeholder="Date of Birth"   name="p_four[dob]" class="datepicker">
			</li>
		</ul>
	</div>
</div>
	<div class="">
		<span class="heading3">Travel Cancellation Insurance</span>
		<p>We strongly recommend purchasing travel insurance due to the vendor's very strict cancellation policies. This is to confirm that you are aware of the cancellation penalties as described above on this page and that travel insurance is available for purchase to protect against cancellation penalties due to unforeseen MEDICAL reasons.
		</p>
	</div>
	<div class="row select-section div-insurance">
		<div class="small-12 medium-6 column"><label>DO YOU UNDERSTAND YOUR TRAVEL INSURANCE OPTIONS?</label> <select  name="travel_Insurance" id="travel_Insurance"><option value="">Please Select</option><option value="Yes">Yes</option><option value="No">No</option></select></div>
		<div class="small-12 medium-6 column"><label>DO YOU WISH TO PURCHASE TRAVEL CANCELLATION INSURANCE? </label><select  name="travel_Cancel" id="travel_Cancel"><option value="">Please Select</option><option value="Yes">Yes</option><option value="No">No</option></select></div>
	</div>

<div class="gray-form">
	<span class="heading2"> Payment & Ticketing Information</span>
	<span class="small-text">(P.O. Boxes Not Accepted)</span>

	<div class="row">
		<div id="card">
			<div class="column small-12 medium-6"><input type="text" placeholder="First Name"  name = "billing[name][]" id="billing_fname" style="" /></div>
			<div class="column small-12 medium-6"><input type="text" placeholder="Last Name"  name = "billing[last][]" id="billing_lname" /></div>

			<div class="column small-12">
			<textarea name = "billing[address][]" placeholder="Address" id="billing_address"></textarea>
			</div>

			<div class="column small-6 medium-4"><input type="text" placeholder="City" name = "billing[city][]"/></div>
			<div class="column small-3 medium-4"><input type="text" placeholder="State" name = "billing[state][]" id="billing_state"/></div>
			<div class="column small-3 medium-4"><input type="text" placeholder="Zip Code" name = "billing[zip][]" id="billing_zip"></div>


			<div class="column small-12 medium-6"><input type="text" placeholder="Preferred Phone"  name = "billing[phone][]"id="billing_phone"/></div>
			<div class="column small-12 medium-6"><input type="text" placeholder="E-mail" name = "billing[mail][]" id="billing_email"/></div>
			<div style="height:30px;clear:both"></div>
			<div class="column small-12 medium-6">
				<input type="text" name = "card_name[]"  placeholder="Name as it appears on card" id="card_name"/>
			</div>
			<div class="column small-12 medium-6">
			<input type="text" placeholder="Amount to pay" name = "card_amount[]" value="" id="card_amount"/>
			</div>
			<div class="column small-6">
				<input type="text" name = "card_number[]" placeholder="Credit Card Number" id="card_number"/>
			</div>
			<div class="column small-3">
			  <select name="card_type[]" id="card_type">
			    <option value="" selected="">Card Type</option>
			    <option value="VISA">VISA</option>
			    <option value="MC">MC</option>
			    <option value="AMEX">AMEX</option>
				<option value="DISCOVER">DISCOVER</option>
				</select>
			</div>
			<div class="column small-3">
				<input type="text" name="card_cvv[]" value="" placeholder="CVV Number" id="card_cvv" >
			</div>
			<div class="column small-6" style="text-align:right"><label>Expiration Date</label></div>

			<div class="column small-3">
			<select name="card_month[]" id="card_month" style="">
			    <option value="" selected="">Month</option>
			    <option value="1">January</option>
			    <option value="2">February</option>
			    <option value="3">March</option>
			    <option value="4">April</option>
			    <option value="5">May</option>
			    <option value="6">June</option>
			    <option value="7">July</option>
			    <option value="8">August</option>
			    <option value="9">September</option>
			    <option value="10">October</option>
			    <option value="11">November</option>
			    <option value="12">December</option>
			</select>
			</div>
			<div class="column small-3">
			<input type="text" name="card_year[]" value="" placeholder="Year" id="card_year" style="float:left">
			</div>
		</div>
		<label><span id="add_filds">(+)add another card</span></label>
	</div>
</div>

<!-- deposit requirement -->

<div class="gray-form">
<span class="heading2">Deposit Requirements </span>
<p>It is the traveler's responsibility to determine the correct deposit amount. The deposit will be processed for the minimum amount required to secure the booking unless otherwise indicated by the traveler. Naturally, you can give your agent a call with any question.</p>
<div class="margin-div">
<p>
</p>
</div>
</div>

<!-- deposit requirement ends here -->

<!-- Additional Service Code Start from here -->
<!-- End Additional Service Code Start from here -->


<!-- text area for the additional request -->
<div class="gray-form">
<div id="card">
<span class="heading2">Additional information or special request</span>
<div class="form-input">
<textarea cols="15" rows="10" name="additional_request"></textarea>
</div>
</div>
</div>
<div class="gray-form">
<div id="card">
			
	<span class="heading2">Enter Captcha</span>
	<div style="margin:10px 0">
		<input type = "hidden"  value="2" name="post_a" id="post_a" >
		<input type = "hidden"  value="3" name="post_b" id="post_b">
		<input type = "hidden"  value="5" name="post_c" id="post_c">
		2 + 3 = <input type = "text"  value="" name="post_total" id="post_total">
	</div>
	</div>
</div>



<!-- text area for additional request ends here -->
<div align="center" class="last-input">
<input type = "hidden"  value="7972" name="post_id1">
<input type="submit" name ="process-mbg-signup" value="Submit My Reservation Request" /> </div>
</div>
</form>

				<div class="footer_cls row-fluid">
			<div class="footer_right span12">
				<div class="Bottom">
					<h4>  </h4>
					<div class="phone_cls">
						 * <a href='mailto:?Subject=Hello' target="_top" style="text-decoration:underline">
												</a><br />&nbsp;
					</div>
				</div>
			</div>
			<p class="sot">Florida Seller of Travel Ref. No. ST15578 - CST 2090937-50 – Washington UBID No. 603189022 - Iowa Registered Agency No. 1202</p>
		</div><!--end footer_cls-->		

	</div><!--end container-->
</div><!--end sing_up_form-->

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