var str="";
str +="<div id='container1' style=''>";
str +="<div id='panel' style='background-image: url(images/booking_form_bg.jpg);background-repeat:no-repeat;width:700px;height:650px;'>";
str +="<form name='frm' action='bookingform_a.php' method='post'>";
str +="<table width='100%' cellspacing='10' cellpadding='4' border='0' style='padding-left:10px;margin-top:60px;'>";
str +="<tr>";
str +="<td width='320'><b>Name: * </b><br><input type='text' name='name' id='name'  style='height:35px;' size='50' onfocus=\"clear_data('e_name');\"></td>";
str +="<td width='60'>&nbsp;</td>";
str +="<td width='300'><b>Pick up location:</b><br>";
str +="<span class='sidekick'><input type='radio' name='international' value='1' id='l1' onclick=\"clear_data('e_l1');\">&nbsp;Internationl Airport&nbsp;&nbsp;&nbsp;<input type='radio' value='2' name='international' id='l2' onclick=\"clear_data('e_l1');\">&nbsp;Railway Station<br><br><input type='radio' value='3' name='international' id='l3' onclick=\"clear_data('e_l1');\">Bus Station&nbsp;&nbsp;<input type='radio' value='4' name='international' id='l4' onclick=\"clear_data('e_l1');\">&nbsp;Others</span>";
str +="</td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>Phone No: * </b><br><input type='text' name='phone' id='phone' onfocus=\"clear_data('e_phone');\" style='height:35px;' size='50'><br>valid mobile no.you will hear from you support team</td>";
str +="<td>&nbsp;</td>";
str +="<td><b>Others please specify: * </b><br><input type='text' name='others' id='others' onclick=\"clear_data('e_other');\" style='height:35px;' size='40'></td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>Email Id: * </b><br><input type='text' name='emailid' id='emailid' onfocus=\"clear_data('e_emailid');\" style='height:35px;' size='50'><br>valid emailid for confirmation</td>";
str +="<td>&nbsp;</td>";
str +="<td><b>Reporting Address: * </b><br><textarea name='address' id='address'  cols='30' rows='4' onfocus=\"clear_data('e_reporting');\" ></textarea></td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>Select Car Type: * </b><br><select name='car_type' id='car_type' onfocus=\"clear_data('e_car_type');\"  style='width:325px;'><option value='1'>Mercedes</option></select></td>";
str +="<td >&nbsp;</td>";
str +="<td rowspan='2'><b>Instructions to Driver</b><br><textarea name='instructions' id='instructions' cols='30' rows='4'></textarea></td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>Date and Time of pick up: * </b><br><input type='text' name='start_date' size='15' id='start_date' onclick=\"scwShow(document.getElementById('start_date'),this);clear_data('e_start_date')\">&nbsp;&nbsp;<input type='time' name='time' size='10'>&nbsp;&nbsp;<select name='session' style='width:50px;'><option value='AM'>AM</option><option value='PM'>PM</option></select></td>";
str +="<td>&nbsp;</td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>No of days: * </b>&nbsp;&nbsp;&nbsp;&nbsp;<input type='text' name='no_of_days' id='no_of_days' onfocus=\"clear_data('e_no_of_days');\"  size='10'></td>";
str +="<td></td>";
str +="<td><img src='images/booking_button.jpg' type='image' onclick='check_booking();' border='0'></td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>No of Hours: * </b>&nbsp;&nbsp;<input type='text' name='no_of_hrs' id='no_of_hrs' onfocus=\"clear_data('e_no_of_hrs');\"  size='10'></td>";
str +="<td>&nbsp;</td>";
str +="<td>&nbsp;</td>";
str +="</tr>";
str +="<tr>";
str +="<td><b>No of Kms: * </b>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type='text' name='no_of_kms' id='no_of_kms' onfocus=\"clear_data('e_no_of_kms');\" size='10'></td>";
str +="<td>&nbsp;</td>";
str +="<td>&nbsp;</td>";
str +="</tr>";
str +="<tr>";
str +="<td colspan='2'></td>";
str +="<td></td>";
str +="<td></td>";
str +="</tr>";
str +="</table>";
str +="<div style='padding-left:35px;'>";
str +="<span id='e_name' class='errortext'></span>&nbsp;&nbsp;<span id='e_name' class='errortext'></span>&nbsp;&nbsp;<span id='e_phone' class='errortext'></span>&nbsp;&nbsp;<span id='e_emailid' class='errortext'></span>&nbsp;&nbsp;";
str +="<span id='e_car_type' class='errortext'></span>&nbsp;&nbsp;<span id='e_start_date' class='errortext'></span>&nbsp;<br>&nbsp;<span id='e_no_of_days' class='errortext'></span>&nbsp;&nbsp;<span id='e_no_of_hrs' class='errortext'></span>&nbsp;&nbsp;<span id='e_no_of_kms' class='errortext'></span>";
str +="&nbsp;&nbsp;<span id='e_l1' class='errortext'></span>&nbsp;&nbsp;<span id='e_other' class='errortext'></span>&nbsp;<br>&nbsp;<span id='e_reporting' class='errortext'></span>";
str +="</div>";
str +="</div>";
str +="</form>";
str +="<p class='slide'><a href='booking_form.php' class='btn-slide'></a></p>";
str +="</div>";
document.write(str);