<%
' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit.
On Error Resume Next
Session("FP_OldCodePage") = Session.CodePage
Session("FP_OldLCID") = Session.LCID
Session.CodePage = 1252
Session.LCID = 1033
Err.Clear

strErrorUrl = ""

If Request.ServerVariables("REQUEST_METHOD") = "POST" Then
If Request.Form("VTI-GROUP") = "0" Then
	Err.Clear

	Set fp_conn =  Server.CreateObject("ADODB.Connection")
	FP_DumpError strErrorUrl, "Cannot create connection"

	Set fp_rs = Server.CreateObject("ADODB.Recordset")
	FP_DumpError strErrorUrl, "Cannot create record set"

	fp_conn.Open Application("request_ConnectionString")
	FP_DumpError strErrorUrl, "Cannot open database"

	fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable
	FP_DumpError strErrorUrl, "Cannot open record set"

	fp_rs.AddNew
	FP_DumpError strErrorUrl, "Cannot add new record set to the database"
	Dim arFormFields0(26)
	Dim arFormDBFields0(26)
	Dim arFormValues0(26)

	arFormFields0(0) = "Rate"
	arFormDBFields0(0) = "Rate"
	arFormValues0(0) = Request("Rate")
	arFormFields0(1) = "Telephone"
	arFormDBFields0(1) = "Telephone"
	arFormValues0(1) = Request("Telephone")
	arFormFields0(2) = "Address1"
	arFormDBFields0(2) = "Address1"
	arFormValues0(2) = Request("Address1")
	arFormFields0(3) = "Visa"
	arFormDBFields0(3) = "Visa"
	arFormValues0(3) = Request("Visa")
	arFormFields0(4) = "country"
	arFormDBFields0(4) = "country"
	arFormValues0(4) = Request("country")
	arFormFields0(5) = "DepartureMonth"
	arFormDBFields0(5) = "DepartureMonth"
	arFormValues0(5) = Request("DepartureMonth")
	arFormFields0(6) = "Infants"
	arFormDBFields0(6) = "Infants"
	arFormValues0(6) = Request("Infants")
	arFormFields0(7) = "Expdate"
	arFormDBFields0(7) = "Expdate"
	arFormValues0(7) = Request("Expdate")
	arFormFields0(8) = "DepartureDay"
	arFormDBFields0(8) = "DepartureDay"
	arFormValues0(8) = Request("DepartureDay")
	arFormFields0(9) = "Creditcard"
	arFormDBFields0(9) = "Creditcard"
	arFormValues0(9) = Request("Creditcard")
	arFormFields0(10) = "DepartureYear"
	arFormDBFields0(10) = "DepartureYear"
	arFormValues0(10) = Request("DepartureYear")
	arFormFields0(11) = "Adults"
	arFormDBFields0(11) = "Adults"
	arFormValues0(11) = Request("Adults")
	arFormFields0(12) = "FAX"
	arFormDBFields0(12) = "FAX"
	arFormValues0(12) = Request("FAX")
	arFormFields0(13) = "Arivalday"
	arFormDBFields0(13) = "Arivalday"
	arFormValues0(13) = Request("Arivalday")
	arFormFields0(14) = "ArivalMonth"
	arFormDBFields0(14) = "ArivalMonth"
	arFormValues0(14) = Request("ArivalMonth")
	arFormFields0(15) = "Email"
	arFormDBFields0(15) = "Email"
	arFormValues0(15) = Request("Email")
	arFormFields0(16) = "Nights"
	arFormDBFields0(16) = "Nights"
	arFormValues0(16) = Request("Nights")
	arFormFields0(17) = "FirstName"
	arFormDBFields0(17) = "FirstName"
	arFormValues0(17) = Request("FirstName")
	arFormFields0(18) = "Country_not_listed"
	arFormDBFields0(18) = "Country_not_listed"
	arFormValues0(18) = Request("Country_not_listed")
	arFormFields0(19) = "Children"
	arFormDBFields0(19) = "Children"
	arFormValues0(19) = Request("Children")
	arFormFields0(20) = "LastName"
	arFormDBFields0(20) = "LastName"
	arFormValues0(20) = Request("LastName")
	arFormFields0(21) = "Specialrequest"
	arFormDBFields0(21) = "Specialrequest"
	arFormValues0(21) = Request("Specialrequest")
	arFormFields0(22) = "ArrivalYear"
	arFormDBFields0(22) = "ArrivalYear"
	arFormValues0(22) = Request("ArrivalYear")
	arFormFields0(23) = "Hotel"
	arFormDBFields0(23) = "Hotel"
	arFormValues0(23) = Request("Hotel")
	arFormFields0(24) = "USA"
	arFormDBFields0(24) = "USA"
	arFormValues0(24) = Request("USA")
	arFormFields0(25) = "Subject"
	arFormDBFields0(25) = "Subject"
	arFormValues0(25) = Request("Subject")

	FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0

	If Request.ServerVariables("REMOTE_HOST") <> "" Then
		FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name"
	End If
	If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then
		FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type"
	End If
	FP_SaveFieldToDB fp_rs, Now, "Timestamp"
	If Request.ServerVariables("REMOTE_USER") <> "" Then
		FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name"
	End If

	fp_rs.Update
	FP_DumpError strErrorUrl, "Cannot update the database"

	fp_rs.Close
	fp_conn.Close

	FP_FormConfirmation "text/html; charset=windows-1252",_
						"Form Confirmation",_
						"Thank you for submitting the following information:",_
						"request.htm",_
						"Return to the form."

End If
End If

Session.CodePage = Session("FP_OldCodePage")
Session.LCID = Session("FP_OldLCID")

%>
<HTML>
<HEAD>
<meta HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1252">
<meta http-equiv="Content-Language" content="en-us">
<TITLE>Hews Request Form</TITLE>
</HEAD>
<BODY bgcolor="#CCFFFF" text="#000000">
<FORM METHOD="POST" ACTION="../_vti_bin/shtml.exe/request1/request.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveDatabase" SuggestedExt="asp" S-DataConnection="request" S-RecordSource="Results" U-Database-URL="../fpdb/request.mdb" S-Builtin-Fields="REMOTE_HOST HTTP_USER_AGENT Timestamp REMOTE_USER" S-Builtin-DBFields="Remote_computer_name Browser_type Timestamp User_name" S-Form-Fields="Rate Telephone Address1 Visa country DepartureMonth Infants Expdate DepartureDay Creditcard DepartureYear Adults FAX Arivalday ArivalMonth Email Nights FirstName Country_not_listed Children LastName Specialrequest ArrivalYear Hotel USA Subject" S-Form-DBFields="Rate Telephone Address1 Visa country DepartureMonth Infants Expdate DepartureDay Creditcard DepartureYear Adults FAX Arivalday ArivalMonth Email Nights FirstName Country_not_listed Children LastName Specialrequest ArrivalYear Hotel USA Subject" U-ASP-Include-Url="../_fpclass/fpdbform.inc" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--#include file="../_fpclass/fpdbform.inc"--><!--webbot bot="SaveDatabase" i-checksum="34604" endspan --><dl>
      <dd>
      <table style="border-collapse: collapse" bordercolor="#111111" cellpadding="0" width="615" height="220" cellspacing="1">
        <tr>
          <td width="307" height="22" colspan="4"><font color="#FFFFFF">
          <span style="background-color: #FF0066; font-weight:700"><font size="6">
          Hews
          R</font><font size="5">equest Form </font></span></font></td>
          <td width="306" height="22" colspan="5">
          <p align="center"><span style="background-color: #00FF00">
          <font size="2">All rates are in Quoted US Dollars</font></span></td>
        </tr>
        <tr>
          <td width="82" height="22">&nbsp;</td>
          <td width="218" height="22">
          &nbsp;</td>
          <td width="7" height="22" colspan="2">&nbsp;</td>
          <td width="116" height="22" colspan="2" align="right"><font size="2"><b>Hotel Name</b></font></td>
          <td height="22" width="93"> 
          <input type="text" name="Hotel" size="18"></td>
          <td height="22" width="47"> 
          <b><font size="2">Rate </font></b></td>
          <td height="22" width="46"> 
          <input type="text" name="Rate" size="6"></td>
        </tr>
        <tr>
          <td width="82" height="22"><b><font size="2">First Name</font></b></td>
          <td width="218" height="22">
          <b>
          <input type="text" size="25" maxlength="256" name="FirstName"></b></td>
          <td width="7" height="22" colspan="2"><b>
          <font color="#CCFFFF" size="2">1</font></b></td>
          <td width="116" height="22" colspan="2" align="right"><b><font size="2">Arrival Date</font></b></td>
          <td height="22" width="186" colspan="3"> 
          <b> 
          <select size="1" name="Arivalday" value style="font-size: 10px">
            <option value="1">01</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            <option value="7">07</option>
            <option value="8">08</option>
            <option value="9">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
            <option value="25">25</option>
            <option value="26">26</option>
            <option value="27">27</option>
            <option value="28">28</option>
            <option value="29">29</option>
            <option value="30">30</option>
            <option value="31">31</option>
            </select><select size="1" name="ArivalMonth" style="font-size: 10px">
            <option value="Jan">Jan</option>
            <option value="Feb">Feb</option>
            <option value="Mar">Mar</option>
            <option value="Apr ">Apr</option>
            <option value="May">May</option>
            <option value="Jun ">Jun</option>
            <option value="Jul ">Jul</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><select size="1" name="ArrivalYear" style="font-size: 10px">
            <option value="2004">2004</option>
            <option value="2005">2005</option>
            <option value="2006">2006</option>
            <option value="2007">2007</option>
            <option value="2008">2008</option>
            </select></b></td>
        </tr>
        <tr>
          <td width="82" height="20"><b><font size="2">Last Name</font></b></td>
          <td width="218" height="20">
          <b>
          <input type="text" name="LastName" size="25"></b></td>
          <td width="7" height="20" colspan="2">&nbsp;</td>
          <td width="116" height="20" colspan="2" align="right"><b><font size="2">Departure Date</font></b></td>
          <td height="20" width="186" colspan="3"> 
          <b> 
          <select size="1" name="DepartureDay" value style="font-size: 10px">
            <option value="1" selected>01</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            <option value="7">07</option>
            <option value="8">08</option>
            <option value="9">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
            <option value="25">25</option>
            <option value="26">26</option>
            <option value="27">27</option>
            <option value="28">28</option>
            <option value="29">29</option>
            <option value="30">30</option>
            <option value="31">31</option>
            </select><select size="1" name="DepartureMonth" style="font-size: 10px">
            <option value="Jan">Jan</option>
            <option value="Feb">Feb</option>
            <option value="Mar">Mar</option>
            <option value="Apr ">Apr</option>
            <option value="May">May</option>
            <option value="Jun ">Jun</option>
            <option value="Jul ">Jul</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><select size="1" name="DepartureYear" style="font-size: 10px">
            <option value="2004">2004</option>
            <option value="2005">2005</option>
            <option value="2006">2006</option>
            <option value="2007">2007</option>
            <option value="2008">2008</option>
            </select></b></td>
        </tr>
        <tr>
          <td width="82" height="23"><b><font size="2">Address</font></b></td>
          <td width="218" height="23">
          <b>
          <input type="text" name="Address1" size="25"></b></td>
          <td width="7" height="23" colspan="2">&nbsp;</td>
          <td width="116" height="23" colspan="2" align="right"><b><font size="2">Length of Stay</font></b></td>
          <td height="23" width="186" colspan="3"> 
          <b> 
          <select size="1" name="Nights" value style="font-size: 10px">
            <option value="1">01</option>
            <option selected value="0">0</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            <option value="7">07</option>
            <option value="8">08</option>
            <option value="9">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
            <option value="25">25</option>
            <option value="26">26</option>
            <option value="27">27</option>
            <option value="28">28</option>
            <option value="29">29</option>
            <option value="30">30</option>
            <option value="31">31</option>
            <option value="32">32</option>
            <option value="33">33</option>
            <option value="34">34</option>
            </select><font size="2"> Nights</font></b></td>
        </tr>
        <tr>
          <td width="82" height="23"><b><font size="2">USA</font></b></td>
          <td width="218" height="23">
          <font style="FONT-SIZE: 11px; font-weight:700" face="arial,helvetica" size="2">
    <select style="WIDTH: 170px; font-size:10px" name="USA">
    <option selected>Select your state if in USA</option>
    <option value="USA">USA</option>
    <option value="Alabama">Alabama</option>
    <option value="Alaska">Alaska</option>
    <option value="Alberta">Alberta</option>
    <option value="American Samoa">American Samoa</option>
    <option value="Arizona">Arizona</option>
    <option value="Arkansas">Arkansas</option>
    <option value="British Columbia">British Columbia</option>
    <option value="California">California</option>
    <option value="Colorado">Colorado</option>
    <option value="Connecticut">Connecticut</option>
    <option value="Delaware">Delaware</option>
    <option value="District of Columbia">District of Columbia</option>
    <option value="Federated States of Micronesia">Federated States of 
    Micronesia</option>
    <option value="Florida">Florida</option>
    <option value="Georgia">Georgia</option>
    <option value="Guam">Guam</option>
    <option value="Hawaii">Hawaii</option>
    <option value="Idaho">Idaho</option>
    <option value="Illinois">Illinois</option>
    <option value="Indiana">Indiana</option>
    <option value="Iowa">Iowa</option>
    <option value="Kansas">Kansas</option>
    <option value="Kentucky">Kentucky</option>
    <option value="Louisiana">Louisiana</option>
    <option value="Maine">Maine</option>
    <option value="Manitoba">Manitoba</option>
    <option value="Marshall Islands">Marshall Islands</option>
    <option value="Maryland">Maryland</option>
    <option value="Massachusetts">Massachusetts</option>
    <option value="Michigan">Michigan</option>
    <option value="Minnesota">Minnesota</option>
    <option value="Mississippi">Mississippi</option>
    <option value="Missouri">Missouri</option>
    <option value="Montana">Montana</option>
    <option value="Nebraska">Nebraska</option>
    <option value="Nevada">Nevada</option>
    <option value="New Brunswick">New Brunswick</option>
    <option value="New Hampshire">New Hampshire</option>
    <option value="New Jersey">New Jersey</option>
    <option value="New Mexico">New Mexico</option>
    <option value="New York">New York</option>
    <option value="Newfoundland">Newfoundland</option>
    <option value="North Carolina">North Carolina</option>
    <option value="North Dakota">North Dakota</option>
    <option value="Northern Mariana Islands">Northern Mariana Islands</option>
    <option value="Northwest Territories">Northwest Territories</option>
    <option value="Nova Scotia">Nova Scotia</option>
    <option value="Nunavut">Nunavut</option>
    <option value="Ohio">Ohio</option>
    <option value="Oklahoma">Oklahoma</option>
    <option value="Ontario">Ontario</option>
    <option value="Oregon">Oregon</option>
    <option value="Palau">Palau</option>
    <option value="Pennsylvania">Pennsylvania</option>
    <option value="Prince Edward Island">Prince Edward Island</option>
    <option value="Puerto Rico">Puerto Rico</option>
    <option value="Quebec">Quebec</option>
    <option value="Rhode Island">Rhode Island</option>
    <option value="Saskatchewan">Saskatchewan</option>
    <option value="South Carolina">South Carolina</option>
    <option value="South Dakota">South Dakota</option>
    <option value="Tennessee">Tennessee</option>
    <option value="Texas">Texas</option>
    <option value="U.S. Virgin Islands">U.S. Virgin Islands</option>
    <option value="Utah">Utah</option>
    <option value="Vermont">Vermont</option>
    <option value="Virginia">Virginia</option>
    <option value="Washington">Washington</option>
    <option value="West Virginia">West Virginia</option>
    <option value="Wisconsin">Wisconsin</option>
    <option value="Wyoming">Wyoming</option>
    <option value="Yukon Territory">Yukon Territory</option>
    </select></font></td>
          <td width="7" height="22" colspan="2">&nbsp;</td>
          <td height="22" width="116" colspan="2" align="right"><b><font size="2">Adults Over 12 Yrs</font></b></td>
          <td width="186" height="22" colspan="3">
          <b>
          <select size="1" name="Adults" value style="font-size: 10px">
            <option value="1">01</option>
            <option selected value="0">0</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            <option value="7">07</option>
            <option value="8">08</option>
            <option value="9">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
            </select></b></td>
        </tr>
        <tr>
          <td width="82" height="22"><b><font size="2">Other Country</font></b></td>
          <td width="218" height="22">
          <font style="FONT-SIZE: 11px; font-weight:700" face="arial,helvetica" size="2">
    <select style="WIDTH: 170px; font-size:10px" name="country">
    <option value="Afghanistan">Afghanistan</option>
    <option value="Albania">Albania</option>
    <option value="Algeria">Algeria</option>
    <option value="American Samoa">American Samoa</option>
    <option value="Andorra">Andorra</option>
    <option value="Angola">Angola</option>
    <option value="Anguilla">Anguilla</option>
    <option value="Antartica">Antartica</option>
    <option value="Antigua and Barbuda">Antigua and Barbuda</option>
    <option value="Argentina">Argentina</option>
    <option value="Armenia">Armenia</option>
    <option value="Aruba">Aruba</option>
    <option value="Ascension Island">Ascension Island</option>
    <option value="Australia">Australia</option>
    <option value="Austria">Austria</option>
    <option value="Azerbaijan">Azerbaijan</option>
    <option value="Bahamas">Bahamas</option>
    <option value="Bahrain">Bahrain</option>
    <option value="Bangladesh">Bangladesh</option>
    <option value="Barbados">Barbados</option>
    <option value="Belarus">Belarus</option>
    <option value="Belgium">Belgium</option>
    <option value="Belize">Belize</option>
    <option value="Benin">Benin</option>
    <option value="Bermuda">Bermuda</option>
    <option value="Bhutan">Bhutan</option>
    <option value="Bolivia">Bolivia</option>
    <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
    <option value="Botswana">Botswana</option>
    <option value="Bouvet Island">Bouvet Island</option>
    <option value="Brazil">Brazil</option>
    <option value="British Indian Ocean Territory">British Indian Ocean 
    Territory</option>
    <option value="Brunei Darussalam">Brunei Darussalam</option>
    <option value="Bulgaria">Bulgaria</option>
    <option value="Burkina Faso">Burkina Faso</option>
    <option value="Burundi">Burundi</option>
    <option value="Cambodia">Cambodia</option>
    <option value="Cameroon">Cameroon</option>
    <option value="Canada">Canada</option>
    <option value="Cape Verde Islands">Cape Verde Islands</option>
    <option value="Cayman Islands">Cayman Islands</option>
    <option value="Central African Republic">Central African Republic</option>
    <option value="Chad">Chad</option>
    <option value="Chile">Chile</option>
    <option value="China">China</option>
    <option value="Christmas Island">Christmas Island</option>
    <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
    <option value="Colombia">Colombia</option>
    <option value="Comoros">Comoros</option>
    <option value="Congo, Democratic Republic of">Congo, Democratic Republic of
    </option>
    <option value="Congo, Republic of">Congo, Republic of</option>
    <option value="Cook Islands">Cook Islands</option>
    <option value="Costa Rica">Costa Rica</option>
    <option value="Cote d'Ivoire">Cote d'Ivoire</option>
    <option value="Croatia/Hrvatska">Croatia/Hrvatska</option>
    <option value="Cyprus">Cyprus</option>
    <option value="Czech Republic">Czech Republic</option>
    <option value="Denmark">Denmark</option>
    <option value="Djibouti">Djibouti</option>
    <option value="Dominica">Dominica</option>
    <option value="Dominican Republic">Dominican Republic</option>
    <option value="East Timor">East Timor</option>
    <option value="Ecuador">Ecuador</option>
    <option value="Egypt">Egypt</option>
    <option value="El Salvador">El Salvador</option>
    <option value="Equatorial Guinea">Equatorial Guinea</option>
    <option value="Eritrea">Eritrea</option>
    <option value="Estonia">Estonia</option>
    <option value="Ethiopia">Ethiopia</option>
    <option value="Falkland Islands">Falkland Islands</option>
    <option value="Faroe Islands">Faroe Islands</option>
    <option value="Fiji">Fiji</option>
    <option value="Finland">Finland</option>
    <option value="France">France</option>
    <option value="French Guiana">French Guiana</option>
    <option value="French Polynesia">French Polynesia</option>
    <option value="French Southern Territories">French Southern Territories
    </option>
    <option value="Gabon">Gabon</option>
    <option value="Gambia">Gambia</option>
    <option value="United States">United States</option>
    <option value="Georgia">Georgia</option>
    <option value="Germany">Germany</option>
    <option value="Ghana">Ghana</option>
    <option value="Gibraltar">Gibraltar</option>
    <option value="Greece">Greece</option>
    <option value="Greenland">Greenland</option>
    <option value="Grenada">Grenada</option>
    <option value="Guadeloupe">Guadeloupe</option>
    <option value="Guam">Guam</option>
    <option value="Guatemala">Guatemala</option>
    <option value="Guernsey">Guernsey</option>
    <option value="Guinea">Guinea</option>
    <option value="Guinea-Bissau">Guinea-Bissau</option>
    <option value="Guyana">Guyana</option>
    <option value="Haiti">Haiti</option>
    <option value="Heard and McDonald Islands">Heard and McDonald Islands
    </option>
    <option value="Honduras">Honduras</option>
    <option value="Hong Kong">Hong Kong</option>
    <option value="Hungary">Hungary</option>
    <option value="Iceland">Iceland</option>
    <option value="India">India</option>
    <option value="Indonesia">Indonesia</option>
    <option value="Ireland">Ireland</option>
    <option value="Isle of Man">Isle of Man</option>
    <option value="Israel">Israel</option>
    <option value="Italy">Italy</option>
    <option value="Jamaica">Jamaica</option>
    <option value="Japan">Japan</option>
    <option value="Jersey">Jersey</option>
    <option value="Jordan">Jordan</option>
    <option value="Kazakhstan">Kazakhstan</option>
    <option value="Kenya">Kenya</option>
    <option value="Kiribati">Kiribati</option>
    <option value="Korea, Republic of">Korea, Republic of</option>
    <option value="Kuwait">Kuwait</option>
    <option value="Kyrgyzstan">Kyrgyzstan</option>
    <option value="Laos">Laos</option>
    <option value="Latvia">Latvia</option>
    <option value="Lebanon">Lebanon</option>
    <option value="Lesotho">Lesotho</option>
    <option value="Liberia">Liberia</option>
    <option value="Liechtenstein">Liechtenstein</option>
    <option value="Lithuania">Lithuania</option>
    <option value="Luxembourg">Luxembourg</option>
    <option value="Macau">Macau</option>
    <option value="Macedonia, Former Yugoslav Republic">Macedonia, Former 
    Yugoslav Republic</option>
    <option value="Madagascar">Madagascar</option>
    <option value="Malawi">Malawi</option>
    <option value="Malaysia">Malaysia</option>
    <option value="Maldives">Maldives</option>
    <option value="Mali">Mali</option>
    <option value="Malta">Malta</option>
    <option value="Marshall Islands">Marshall Islands</option>
    <option value="Martinique">Martinique</option>
    <option value="Mauritania">Mauritania</option>
    <option value="Mauritius">Mauritius</option>
    <option value="Mayotte Island">Mayotte Island</option>
    <option value="Mexico">Mexico</option>
    <option value="Micronesia">Micronesia</option>
    <option value="Moldova">Moldova</option>
    <option value="Monaco">Monaco</option>
    <option value="Mongolia">Mongolia</option>
    <option value="Montserrat">Montserrat</option>
    <option value="Morocco">Morocco</option>
    <option value="Mozambique">Mozambique</option>
    <option value="Myanmar">Myanmar</option>
    <option value="Namibia">Namibia</option>
    <option value="Nauru">Nauru</option>
    <option value="Nepal">Nepal</option>
    <option value="Netherlands">Netherlands</option>
    <option value="Netherlands Antilles">Netherlands Antilles</option>
    <option value="New Caledonia">New Caledonia</option>
    <option value="New Zealand">New Zealand</option>
    <option value="Nicaragua">Nicaragua</option>
    <option value="Niger">Niger</option>
    <option value="Nigeria">Nigeria</option>
    <option value="Niue">Niue</option>
    <option value="Norfolk Island">Norfolk Island</option>
    <option value="Northern Mariana Islands">Northern Mariana Islands</option>
    <option value="Norway">Norway</option>
    <option value="Oman">Oman</option>
    <option value="Pakistan">Pakistan</option>
    <option value="Palau">Palau</option>
    <option value="Palestinian Territories">Palestinian Territories</option>
    <option value="Panama">Panama</option>
    <option value="Papua New Guinea">Papua New Guinea</option>
    <option value="Paraguay">Paraguay</option>
    <option value="Peru">Peru</option>
    <option value="Philippines">Philippines</option>
    <option value="Pitcairn Island">Pitcairn Island</option>
    <option value="Poland">Poland</option>
    <option value="Portugal">Portugal</option>
    <option value="Puerto Rico">Puerto Rico</option>
    <option value="Qatar">Qatar</option>
    <option value="Reunion Island">Reunion Island</option>
    <option value="Romania">Romania</option>
    <option value="Russian Federation">Russian Federation</option>
    <option value="Rwanda">Rwanda</option>
    <option value="Saint Helena">Saint Helena</option>
    <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
    <option value="Saint Lucia">Saint Lucia</option>
    <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
    <option value="Saint Vincent and the Grenadines">Saint Vincent and the 
    Grenadines</option>
    <option value="San Marino">San Marino</option>
    <option value="Sao Tome and Principe">Sao Tome and Principe</option>
    <option value="Saudi Arabia">Saudi Arabia</option>
    <option value="Senegal">Senegal</option>
    <option value="Seychelles">Seychelles</option>
    <option value="Sierra Leone">Sierra Leone</option>
    <option value="Singapore">Singapore</option>
    <option value="Slovak Republic">Slovak Republic</option>
    <option value="Slovenia">Slovenia</option>
    <option value="Solomon Islands">Solomon Islands</option>
    <option value="Somalia">Somalia</option>
    <option value="South Africa">South Africa</option>
    <option value="South Georgia and South Sandwich Islands">South Georgia and 
    South Sandwich Islands</option>
    <option value="Spain">Spain</option>
    <option value="Sri Lanka">Sri Lanka</option>
    <option value="Suriname">Suriname</option>
    <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen 
    Islands</option>
    <option value="Swaziland">Swaziland</option>
    <option value="Sweden">Sweden</option>
    <option value="Switzerland">Switzerland</option>
    <option value="Taiwan">Taiwan</option>
    <option value="Tajikistan">Tajikistan</option>
    <option value="Tanzania">Tanzania</option>
    <option value="Thailand">Thailand</option>
    <option value="Togo">Togo</option>
    <option value="Tokelau">Tokelau</option>
    <option value="Tonga Islands">Tonga Islands</option>
    <option value="Trinidad and Tobago">Trinidad and Tobago</option>
    <option value="Tunisia">Tunisia</option>
    <option value="Turkey">Turkey</option>
    <option value="Turkmenistan">Turkmenistan</option>
    <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
    <option value="Tuvalu">Tuvalu</option>
    <option value="Uganda">Uganda</option>
    <option value="Ukraine">Ukraine</option>
    <option value="United Arab Emirates">United Arab Emirates</option>
    <option value="United Kingdom" selected>United Kingdom</option>
    <option value="Uruguay">Uruguay</option>
    <option value="USA">USA</option>
    <option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
    <option value="Uzbekistan">Uzbekistan</option>
    <option value="Vanuatu">Vanuatu</option>
    <option value="Vatican City">Vatican City</option>
    <option value="Venezuela">Venezuela</option>
    <option value="Vietnam">Vietnam</option>
    <option value="Virgin Islands (British)">Virgin Islands (British)</option>
    <option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
    <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option>
    <option value="Western Sahara">Western Sahara</option>
    <option value="Western Samoa">Western Samoa</option>
    <option value="Yemen">Yemen</option>
    <option value="Yugoslavia">Yugoslavia</option>
    <option value="Zambia">Zambia</option>
    </select></font></td>
          <td width="7" height="22" colspan="2">&nbsp;</td>
          <td width="116" height="22" colspan="2" align="right"><b><font size="2">Children 3-12 yrs</font></b></td>
          <td height="22" width="186" colspan="3"> 
          <b> 
          <select size="1" name="Children" value style="font-size: 10px">
            <option value="1">01</option>
            <option selected value="0">0</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            <option value="7">07</option>
            <option value="8">08</option>
            <option value="9">09</option>
            <option value="10">10</option>
            <option value="11">11</option>
            <option value="12">12</option>
            <option value="13">13</option>
            <option value="14">14</option>
            <option value="15">15</option>
            <option value="16">16</option>
            <option value="17">17</option>
            <option value="18">18</option>
            <option value="19">19</option>
            <option value="20">20</option>
            <option value="21">21</option>
            <option value="22">22</option>
            <option value="23">23</option>
            <option value="24">24</option>
            </select></b></td>
        </tr>
        <tr>
          <td width="82" height="22"><b><font size="2">Country if not listed</font></b></td>
          <td width="218" height="22">
          <b>
          <input type="text" size="25" maxlength="256" name="Country_not_listed" value="Country if not listed"></b></td>
          <td width="7" height="22" colspan="2">&nbsp;</td>
          <td width="116" height="22" colspan="2" align="right"><b><font size="2">Infant 1-3 yrs</font></b></td>
          <td width="186" height="22" colspan="3"> 
          <b> 
          <select size="1" name="Infants" value style="font-size: 10px">
            <option value="1">01</option>
            <option selected value="0">0</option>
            <option value="2">02</option>
            <option value="3">03</option>
            <option value="4">04</option>
            <option value="5">05</option>
            <option value="6">06</option>
            </select></b></td>
        </tr>
        <tr>
          <td width="82" height="22"><b><font size="2">FAX</font></b></td>
          <td width="218" height="22">
          <b>
          <input type="text" size="25" maxlength="256" name="FAX"></b></td>
          <td width="7" height="19" colspan="2">&nbsp;</td>
          <td width="303" height="57" colspan="5" rowspan="3">
          <b>
          <textarea rows="3" name="Specialrequest" cols="35">Type any Special request here</textarea></b></td>
        </tr>
        <tr>
          <td width="82" height="19"><b><font size="2">E-mail</font></b></td>
          <td width="218" height="19">
          <b>
          <input type="text" size="25" maxlength="256" name="Email"></b></td>
          <td width="7" height="19" colspan="2">&nbsp;</td>
        </tr>
        <tr>
          <td width="82" height="19"><b><font size="2">Tel</font></b></td>
          <td width="218" height="19">
          <b>
          <input type="text" size="25" maxlength="256" name="Telephone"></b></td>
          <td width="7" height="19" colspan="2">&nbsp;</td>
        </tr>
        <tr>
          <td width="82" height="17"><b><font size="2">Card Number</font></b></td>
          <td width="218" height="17">
          <b>
          <input type="text" size="25" maxlength="256" name="Creditcard" style="padding: 0"></b></td>
          <td width="7" height="17" colspan="2"></td>
          <td width="58" height="17">Exp Date</td>
          <td width="58" height="17"><input type="text" name="Expdate" size="7"></td>
          <td width="93" height="17"><b><font size="2">&nbsp;Master Card</font><input type="radio" value="Visa4" checked name="Visa" tabindex="1"></b></td>
          <td width="93" height="17" colspan="2">
          <p align="right"><b><font size="2">Visa </font>
          <input type="radio" value="Visa3" name="Visa" tabindex="1"></b></td>
        </tr>
        <tr>
          <td width="309" height="18" colspan="3"><b><font size="2">Information</font><input type="radio" name="Subject" value="Request" checked><font size="2">&nbsp;/&nbsp; Comment</font><input type="radio" name="Subject" value="Comment"><font size="2"> 
          /&nbsp;&nbsp; Booking</font><input type="radio" name="Subject" value="Booking"></b></td>
          <td width="303" height="18" colspan="6"></td>
        </tr>
        </table>
      </dd>
    </dl>
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