<?php global $access; if($access != 1){ exit("Direct Access not allowed"); } ?>

              <form class="form-horizontal CheckOutForm" id="myform" method="post" action="inc/libraries-bgo/booking-room.php">
               
               		<input type="hidden" name="otacode" value="<?php echo $ota_priority; ?>" />
                    <input type="hidden" name="hotelid" value="<?php echo $hotelid; ?>" />
                    <input type="hidden" name="checkin" value="<?php echo $checkin; ?>" />
                    <input type="hidden" name="checkout" value="<?php echo $checkout; ?>" />
                    <input type="hidden" name="rooms" value="<?php echo $rooms; ?>" />
                    
                    <input type="hidden" name="adults1" value="<?php echo $adults[0]; ?>" />
                    <input type="hidden" name="children1" value="<?php echo $children[0]; ?>" />
                    <input type="hidden" name="children1age1" value="<?php echo $childrenArray['room-0-child-0-age']; ?>" />
                    <input type="hidden" name="children1age2" value="<?php echo $childrenArray['room-0-child-1-age']; ?>" />
                    <input type="hidden" name="children1age3" value="<?php echo $childrenArray['room-0-child-2-age']; ?>" />
                    
                    <input type="hidden" name="adults2" value="<?php echo $adults[1]; ?>" />
                    <input type="hidden" name="children2" value="<?php echo $children[1]; ?>" />
                    <input type="hidden" name="children2age1" value="<?php echo $childrenArray['room-1-child-0-age']; ?>" />
                    <input type="hidden" name="children2age2" value="<?php echo $childrenArray['room-1-child-1-age']; ?>" />
                    <input type="hidden" name="children2age3" value="<?php echo $childrenArray['room-1-child-2-age']; ?>" />
                    
                    <input type="hidden" name="adults3" value="<?php echo $adults[2]; ?>" />
                    <input type="hidden" name="children3" value="<?php echo $children[2]; ?>" />
                    <input type="hidden" name="children3age1" value="<?php echo $childrenArray['room-2-child-0-age']; ?>" />
                    <input type="hidden" name="children3age2" value="<?php echo $childrenArray['room-2-child-1-age']; ?>" />
                    <input type="hidden" name="children3age3" value="<?php echo $childrenArray['room-2-child-2-age']; ?>" />
                                       
                    <input type="hidden" name="adults4" value="<?php echo $adults[3]; ?>" />
                    <input type="hidden" name="children4" value="<?php echo $children[3]; ?>" />
                    <input type="hidden" name="children4age1" value="<?php echo $childrenArray['room-3-child-0-age']; ?>" />
                    <input type="hidden" name="children4age2" value="<?php echo $childrenArray['room-3-child-1-age']; ?>" />
                    <input type="hidden" name="children4age3" value="<?php echo $childrenArray['room-3-child-2-age']; ?>" />
                                        
                    <input type="hidden" name="roomcode" value="<?php echo $roomcode; ?>" />
                    <input type="hidden" name="ratekey" value="<?php echo $ratekey; ?>" />
                    <input type="hidden" name="ratecode" value="<?php echo $ratecode; ?>" />
                    <input type="hidden" name="hotel_name" value="<?php echo $hotelname; ?>" />
                    <input type="hidden" name="room_name" value="<?php echo $roomname; ?>" />
                    <input type="hidden" name="taxfee" value="<?php echo $taxfee; ?>" />
                    <input type="hidden" name="baseC" value="<?php echo $newcurrency; ?>" />
                     
                
        <?php
			for ($i = 0; $i < $rooms; $i++) {
				$textroom = $i+1;
                echo '
				<div class="CKOTitleBG">
                	<p>GUEST DETAILS ROOM '.$textroom.'</p>
              	</div>	
				
				<div class="control-group control-group-1">
                  <label class="control-label">First Name:</label>
                  <div class="controls">
                    <input class="textinput span7 FieldContent" type="text" name="firstname'.$i.'">
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Last Name:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="lastname'.$i.'">
                  </div>
                </div>';
			    
			if ($i == 0){
				echo'
				<div class="control-group control-group-1">
                  <label class="control-label">Your Email:</label>
                  <div class="controls">
                    <input class="textinput span7" type="email" name="email">
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Re-Type Email</label>
                  <div class="controls">
                    <input class="textinput span7" type="email" name="retypeemail">
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Phone Number:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="phone">
                  </div>
                </div>
                <div class="control-group control-group-2">
                  <label class="control-label">Work Phone Number:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="workphone">
                  </div>
                </div>';
			}
						
                echo'
                <div class="control-group control-group-2">
                  <label class="control-label">Smoking Preferences:</label>
                  <div class="controls">
                    <select name="smokingpref'.$i.'" class="DropDownBtn">
                      <option value="Non-Smoking">Non-Smoking</option>
                      <option value="Smoking">Smoking</option>
                    </select>
                  </div>
                </div>';
			}
        ?>
                
                <div class="CKOTitleBG">
                	<p>BILLING ADDRESS</p>
              	</div>
                
                <div class="control-group control-group-1">
                  <label class="control-label">Country:</label>
                  <div class="controls">
                    <select name="country" class="DropDownBtn">
                      <option value="">Select your country...</option>
                      <option value="Afghanistan">Afghanistan</option>
                      <option value="Albania">Albania</option>
                      <option value="Algeria">Algeria</option>
                      <option value="Andorra">Andorra</option>
                      <option value="Angola">Angola</option>
                      <option value="Antigua &amp; Deps">Antigua &amp; Deps</option>
                      <option value="Argentina">Argentina</option>
                      <option value="Armenia">Armenia</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="Bhutan">Bhutan</option>
                      <option value="Bolivia">Bolivia</option>
                      <option value="Bosnia Herzegovina">Bosnia Herzegovina</option>
                      <option value="Botswana">Botswana</option>
                      <option value="Brazil">Brazil</option>
                      <option value="Brunei">Brunei</option>
                      <option value="Bulgaria">Bulgaria</option>
                      <option value="Burkina">Burkina</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">Cape Verde</option>
                      <option value="Central African Rep">Central African Rep</option>
                      <option value="Chad">Chad</option>
                      <option value="Chile">Chile</option>
                      <option value="China">China</option>
                      <option value="Colombia">Colombia</option>
                      <option value="Comoros">Comoros</option>
                      <option value="Congo">Congo</option>
                      <option value="Congo {Democratic Rep}">Congo {Democratic Rep}</option>
                      <option value="Costa Rica">Costa Rica</option>
                      <option value="Croatia">Croatia</option>
                      <option value="Cuba">Cuba</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="Fiji">Fiji</option>
                      <option value="Finland">Finland</option>
                      <option value="France">France</option>
                      <option value="Gabon">Gabon</option>
                      <option value="Gambia">Gambia</option>
                      <option value="Georgia">Georgia</option>
                      <option value="Germany">Germany</option>
                      <option value="Ghana">Ghana</option>
                      <option value="Greece">Greece</option>
                      <option value="Grenada">Grenada</option>
                      <option value="Guatemala">Guatemala</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="Honduras">Honduras</option>
                      <option value="Hungary">Hungary</option>
                      <option value="Iceland">Iceland</option>
                      <option value="India">India</option>
                      <option value="Indonesia">Indonesia</option>
                      <option value="Iran">Iran</option>
                      <option value="Iraq">Iraq</option>
                      <option value="Ireland {Republic}">Ireland {Republic}</option>
                      <option value="Israel">Israel</option>
                      <option value="Italy">Italy</option>
                      <option value="Ivory Coast">Ivory Coast</option>
                      <option value="Jamaica">Jamaica</option>
                      <option value="Japan">Japan</option>
                      <option value="Jordan">Jordan</option>
                      <option value="Kazakhstan">Kazakhstan</option>
                      <option value="Kenya">Kenya</option>
                      <option value="Kiribati">Kiribati</option>
                      <option value="Korea North">Korea North</option>
                      <option value="Korea South">Korea South</option>
                      <option value="Kosovo">Kosovo</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="Libya">Libya</option>
                      <option value="Liechtenstein">Liechtenstein</option>
                      <option value="Lithuania">Lithuania</option>
                      <option value="Luxembourg">Luxembourg</option>
                      <option value="Macedonia">Macedonia</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="Mauritania">Mauritania</option>
                      <option value="Mauritius">Mauritius</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="Montenegro">Montenegro</option>
                      <option value="Morocco">Morocco</option>
                      <option value="Mozambique">Mozambique</option>
                      <option value="Myanmar, {Burma}">Myanmar, {Burma}</option>
                      <option value="Namibia">Namibia</option>
                      <option value="Nauru">Nauru</option>
                      <option value="Nepal">Nepal</option>
                      <option value="Netherlands">Netherlands</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="Norway">Norway</option>
                      <option value="Oman">Oman</option>
                      <option value="Pakistan">Pakistan</option>
                      <option value="Palau">Palau</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="Poland">Poland</option>
                      <option value="Portugal">Portugal</option>
                      <option value="Qatar">Qatar</option>
                      <option value="Romania">Romania</option>
                      <option value="Russian Federation">Russian Federation</option>
                      <option value="Rwanda">Rwanda</option>
                      <option value="St Kitts &amp; Nevis">St Kitts &amp; Nevis</option>
                      <option value="St Lucia">St Lucia</option>
                      <option value="Saint Vincent &amp; the Grenadines">Saint Vincent &amp; the Grenadines</option>
                      <option value="Samoa">Samoa</option>
                      <option value="San Marino">San Marino</option>
                      <option value="Sao Tome &amp; Principe">Sao Tome &amp; Principe</option>
                      <option value="Saudi Arabia">Saudi Arabia</option>
                      <option value="Senegal">Senegal</option>
                      <option value="Serbia">Serbia</option>
                      <option value="Seychelles">Seychelles</option>
                      <option value="Sierra Leone">Sierra Leone</option>
                      <option value="Singapore">Singapore</option>
                      <option value="Slovakia">Slovakia</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 Sudan">South Sudan</option>
                      <option value="Spain">Spain</option>
                      <option value="Sri Lanka">Sri Lanka</option>
                      <option value="Sudan">Sudan</option>
                      <option value="Suriname">Suriname</option>
                      <option value="Swaziland">Swaziland</option>
                      <option value="Sweden">Sweden</option>
                      <option value="Switzerland">Switzerland</option>
                      <option value="Syria">Syria</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="Tonga">Tonga</option>
                      <option value="Trinidad &amp; Tobago">Trinidad &amp; Tobago</option>
                      <option value="Tunisia">Tunisia</option>
                      <option value="Turkey">Turkey</option>
                      <option value="Turkmenistan">Turkmenistan</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">United Kingdom</option>
                      <option value="United States">United States</option>
                      <option value="Uruguay">Uruguay</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="Yemen">Yemen</option>
                      <option value="Zambia">Zambia</option>
                      <option value="Zimbabwe">Zimbabwe</option>
                    </select>
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">State:</label>
                  <div class="controls">
                    <select name="state-us" class="DropDownBtn dropdownbtn-1">
                      <option value="Select your state...">Select your state...</option>
                      <option value="Alabama">Alabama</option>
                      <option value="Alaska">Alaska</option>
                      <option value="American Samoa">American Samoa</option>
                      <option value="Arizona">Arizona</option>
                      <option value="Arkansas">Arkansas</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="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 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="North Carolina">North Carolina</option>
                      <option value="North Dakota">North Dakota</option>
                      <option value="Northern Mariana Islands">Northern Mariana Islands</option>
                      <option value="Ohio">Ohio</option>
                      <option value="Oklahoma">Oklahoma</option>
                      <option value="Oregon">Oregon</option>
                      <option value="Palau">Palau</option>
                      <option value="Pennsylvania">Pennsylvania</option>
                      <option value="Puerto Rico">Puerto Rico</option>
                      <option value="Rhode Island">Rhode Island</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="Utah">Utah</option>
                      <option value="Vermont">Vermont</option>
                      <option value="Virgin Islands">Virgin Islands</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="Other">Other</option>
                    </select>
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">City:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="city">
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Address:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="billaddress">
                  </div>
                </div>
                <div class="control-group control-group-2">
                  <label class="control-label">Zip Code:</label>
                  <div class="controls">
                    <input class="textinput input-small" type="text" name="zip">
                  </div>
                </div>
                
                <div class="CKOTitleBG">
                	<p>PAYMENT INFORMATION</p>
                    <div class="CredCardContent" id="CreditCardHolder">
                  		<img src="<?php echo PATH; ?>images/tvisa.png" class="image">
                  		<img src="<?php echo PATH; ?>images/tmastercard.png" class="image">
                  		<img src="<?php echo PATH; ?>images/tpaypal.png" class="image">
                	</div>
              	</div>
                
                <?php if($pp_active == '1' && $ht_active == '1') { ?>
                <div class="control-group control-group-1">
                  <label class="control-label">Pay Method:</label>
                  <div class="controls">
                    <select name="payment" class="DropDownBtn dropdownbtn-1" id="db-one">
                      <option value="hotel">In Hotel</option>
                      <option value="paypal">Paypal</option>
                    </select>
                  </div>
                </div>
                
                <div id="tmplallservices">
                
                <div class="control-group control-group-1">
                  <label class="control-label">First Name On Card:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="cardfirstname">
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Last Name On Card:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="cardlastname">
                  </div>
                </div>
                <div class="control-group control-group-3">
                  <label class="control-label">Card Number:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="cardnumber">
                  </div>
                </div>
                <input type="hidden" name="roompricetotal" value="<?php echo number_format($hotelroomfinalprice, 2, '.', ''); ?>" />
                <div class="control-group control-group-1">
                  <label class="control-label">Credit Card Type:</label>
                  <div class="controls">
                    <select name="cardtype" class="DropDownBtn">
                      <option value="">Select one...</option>
                      <option value="VI">Visa</option>
                      <option value="CA">MasterCard</option>
                      <option value="AX">American Express</option>
                      <option value="DS">Discover</option>
                    </select>
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Expiration Date:</label>
                  <div class="controls">
                    <select name="credit-card-exp-month" class="ExpMonthCC">
                      <option value="Month">Month</option>
                      <option value="1">1</option>
                      <option value="2">2</option>
                      <option value="3">3</option>
                      <option value="4">4</option>
                      <option value="5">5</option>
                      <option value="6">6</option>
                      <option value="7">7</option>
                      <option value="8">8</option>
                      <option value="9">9</option>
                      <option value="10">10</option>
                      <option value="11">11</option>
                      <option value="12">12</option>
                    </select>
                    <select name="credit-card-exp-year" class="ExpYearCC">
                      <option value="Year">Year</option>
                      <option value="2013">2013</option>
                      <option value="2014">2014</option>
                      <option value="2015">2015</option>
                      <option value="2016">2016</option>
                      <option value="2017">2017</option>
                      <option value="2018">2018</option>
                      <option value="2019">2019</option>
                      <option value="2020">2020</option>
                      <option value="2021">2021</option>
                      <option value="2022">2022</option>
                      <option value="2023">2023</option>
                    </select>
                  </div>
                </div>
                <div class="control-group control-group-2">
                  <label class="control-label">Security Code:</label>
                  <div class="controls">
                    <input class="textinput input-mini" type="text" name="securitycode">
                    <a class="btn btn-link fancybox fancybox.ajax" href="inc/data-bgo/what-this.php">What is this?</a>
                  </div>
                </div>
                
                </div>
                <?php } elseif($pp_active == '1') { ?>
                <div class="control-group control-group-1">
                  <label class="control-label">Pay Method:</label>
                  <div class="controls">
                    <select name="payment" class="DropDownBtn dropdownbtn-1" id="db-one">
                      <option value="paypal">Paypal</option>
                    </select>
                  </div>
                </div>
                <input type="hidden" name="roompricetotal" value="<?php echo number_format($hotelroomwithfee, 2, '.', ''); ?>" />
                
                <?php } elseif($ht_active == '1') { ?>
                <div class="control-group control-group-1">
                  <label class="control-label">Pay Method:</label>
                  <div class="controls">
                    <select name="payment" class="DropDownBtn dropdownbtn-1" id="db-one">
                      <option value="hotel">In Hotel</option>
                    </select>
                  </div>
                </div>
                
                <div id="tmplallservices">
                
                <div class="control-group control-group-1">
                  <label class="control-label">First Name On Card:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="cardfirstname">
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Last Name On Card:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="cardlastname">
                  </div>
                </div>
                <div class="control-group control-group-3">
                  <label class="control-label">Card Number:</label>
                  <div class="controls">
                    <input class="textinput span7" type="text" name="cardnumber">
                  </div>
                </div>
                <input type="hidden" name="roompricetotal" value="<?php echo number_format($hotelroomfinalprice, 2, '.', ''); ?>" />
                <div class="control-group control-group-1">
                  <label class="control-label">Credit Card Type:</label>
                  <div class="controls">
                    <select name="cardtype" class="DropDownBtn">
                      <option value="">Select one...</option>
                      <option value="VI">Visa</option>
                      <option value="CA">MasterCard</option>
                      <option value="AX">American Express</option>
                      <option value="DS">Discover</option>
                    </select>
                  </div>
                </div>
                <div class="control-group control-group-1">
                  <label class="control-label">Expiration Date:</label>
                  <div class="controls">
                    <select name="credit-card-exp-month" class="ExpMonthCC">
                      <option value="Month">Month</option>
                      <option value="1">1</option>
                      <option value="2">2</option>
                      <option value="3">3</option>
                      <option value="4">4</option>
                      <option value="5">5</option>
                      <option value="6">6</option>
                      <option value="7">7</option>
                      <option value="8">8</option>
                      <option value="9">9</option>
                      <option value="10">10</option>
                      <option value="11">11</option>
                      <option value="12">12</option>
                    </select>
                    <select name="credit-card-exp-year" class="ExpYearCC">
                      <option value="Year">Year</option>
                      <option value="2013">2013</option>
                      <option value="2014">2014</option>
                      <option value="2015">2015</option>
                      <option value="2016">2016</option>
                      <option value="2017">2017</option>
                      <option value="2018">2018</option>
                      <option value="2019">2019</option>
                      <option value="2020">2020</option>
                      <option value="2021">2021</option>
                      <option value="2022">2022</option>
                      <option value="2023">2023</option>
                    </select>
                  </div>
                </div>
                <div class="control-group control-group-2">
                  <label class="control-label">Security Code:</label>
                  <div class="controls">
                    <input class="textinput input-mini" type="text" name="securitycode">
                    <a class="btn btn-link fancybox fancybox.ajax" href="inc/data-bgo/what-this.php">What is this?</a>
                  </div>
                </div>
                
                </div>
                <?php } ?>
                
                <div class="CKOTitleBG">
                	<p>ACCEPT AND CONFIRM</p>
              	</div>
                
                <div class="control-group control-group-1">
                <label class="checkbox">
                  <input type="checkbox" value="" name="terms">
                  <span>I AGREE TO THE BOOKING CONDITIONS</span>
                </label>
                </div>
                <div class="control-group control-group-1">
                <div class="btn-group pull-right CKOBottom">
                  <button class="btn btn-primary">SUBMIT</button>
                </div>
                </div>
              </form>