{"id":1843,"date":"2016-06-08T18:29:17","date_gmt":"2016-06-08T18:29:17","guid":{"rendered":"http:\/\/www.voodoodivers.com\/site\/?page_id=1843"},"modified":"2016-08-04T20:17:56","modified_gmt":"2016-08-04T20:17:56","slug":"ik-heb-een-duikbevret-en-wil-duikdagen-boeken","status":"publish","type":"page","link":"https:\/\/www.voodoodivers.com\/en_GB\/reserveren\/ik-heb-een-duikbevret-en-wil-duikdagen-boeken\/","title":{"rendered":"I have a diving certificate and would like to book diving days"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_15' style='display:none'><a id='gf_15' name='gf_15' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_15'  action='\/en_GB\/wp-json\/wp\/v2\/pages\/1843#gf_15'>\n                        <div class='gform_heading'>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                    <div id='gf_page_steps_15' class='gf_page_steps'>\n                        <div id='gf_step_15_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>Diving information<\/span><\/div>\n                        <div id='gf_step_15_2' class='gf_step gf_step_last gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Contact and booking information<\/span><\/div>\n                        <div class='gf_step_clear'><\/div>\n                    <\/div>\n                        <div class='gform_body'><div id='gform_page_15_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_15' class='gform_fields top_label form_sublabel_above description_above'><li id='field_15_10' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_10' >Startingdate reservation<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>This is the starting date of your reservation at Voodoodivers. not the first day of your hotel booking<\/div><div class='ginput_container'>\n                            <input name='input_10' id='input_15_10' type='text' value='' class='datepicker medium dmy_dash datepicker_with_icon' tabindex='1'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_15_10' class='gform_hidden' value='https:\/\/www.voodoodivers.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_15_32' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_32' >What is your highest certification?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_32' id='input_15_32' type='text' value='' class='medium'  tabindex='2'   \/><\/div><\/li><li id='field_15_33' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_33' >Number of logged dives?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_33' id='input_15_33' type='text'    value='' class='medium' tabindex='3'    \/><\/div><\/li><li id='field_15_34' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_34' >When was your last logged dive?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_34' id='input_15_34' type='text' value='' class='datepicker medium dmy_dash datepicker_with_icon' tabindex='4'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_15_34' class='gform_hidden' value='https:\/\/www.voodoodivers.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_15_21' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_21' >Choose your diving package<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Choose the amount of diving days<\/div><div class='ginput_container'><select name='input_21' id='input_15_21'  class='medium gfield_select' tabindex='5' ><option value='Make your choice...' >Make your choice...<\/option><option value='none' >None<\/option><option value='1 day boatdiving (2 dive sessions)' >1 day boatdiving (2 dive sessions)<\/option><option value='2 days boatdiving (4 dive sessions)' >2 days boatdiving (4 dive sessions)<\/option><option value='3 days boatdiving (6 dive sessions)' >3 days boatdiving (6 dive sessions)<\/option><option value='4 days boatdiving (8 dive sessions)' >4 days boatdiving (8 dive sessions)<\/option><option value='5 days boatdiving (10 dive sessions)' >5 days boatdiving (10 dive sessions)<\/option><option value='6 days boatdiving (12 dive sessions)' >6 days boatdiving (12 dive sessions)<\/option><option value='7 days boatdiving (14 dive sessions)' >7 days boatdiving (14 dive sessions)<\/option><option value='8 days boatdiving (16 dive sessions)' >8 days boatdiving (16 dive sessions)<\/option><option value='9 days boatdiving (18 dive sessions)' >9 days boatdiving (18 dive sessions)<\/option><option value='10 days boatdiving (20 dive sessions)' >10 days boatdiving (20 dive sessions)<\/option><option value='More than 10 days boatdiving' >More than 10 days boatdiving<\/option><\/select><\/div><\/li><li id='field_15_18' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Would you like to book extra equipment?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_15_18'><li class='gchoice_15_18_0'><input name='input_18' type='radio' value='Yes i would like to book extra gear'  id='choice_15_18_0' tabindex='6'  onclick='gf_apply_rules(15,[19]);'  \/><label for='choice_15_18_0' id='label_15_18_0'>Yes i would like to book extra gear<\/label><\/li><li class='gchoice_15_18_1'><input name='input_18' type='radio' value='No i would not' checked='checked' id='choice_15_18_1' tabindex='7'  onclick='gf_apply_rules(15,[19]);'  \/><label for='choice_15_18_1' id='label_15_18_1'>No i would not<\/label><\/li><\/ul><\/div><\/li><li id='field_15_19' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Which diving gear do you want to book extra<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'><font style=\"color:#ffb400\">Please note: Standard Complete diving gear includes a mask, snorkel, fins, wetsuit, regulator and BCD.<\/font><\/div><div class='ginput_container'><ul class='gfield_checkbox' id='input_15_19'><li class='gchoice_15_19_1'>\n\t\t\t\t\t\t\t\t<input name='input_19.1' type='checkbox'  value='Complete standard divinggear'  id='choice_15_19_1' tabindex='8'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_1' id='label_15_19_1'>Complete standard divinggear<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_2'>\n\t\t\t\t\t\t\t\t<input name='input_19.2' type='checkbox'  value='Mask'  id='choice_15_19_2' tabindex='9'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_2' id='label_15_19_2'>Mask<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_3'>\n\t\t\t\t\t\t\t\t<input name='input_19.3' type='checkbox'  value='Snorkel'  id='choice_15_19_3' tabindex='10'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_3' id='label_15_19_3'>Snorkel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_4'>\n\t\t\t\t\t\t\t\t<input name='input_19.4' type='checkbox'  value='Fins'  id='choice_15_19_4' tabindex='11'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_4' id='label_15_19_4'>Fins<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_5'>\n\t\t\t\t\t\t\t\t<input name='input_19.5' type='checkbox'  value='Neopreen wetsuit 5mm (shorty of long)'  id='choice_15_19_5' tabindex='12'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_5' id='label_15_19_5'>Neopreen wetsuit 5mm (shorty of lang)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_6'>\n\t\t\t\t\t\t\t\t<input name='input_19.6' type='checkbox'  value='Regulator set'  id='choice_15_19_6' tabindex='13'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_6' id='label_15_19_6'>Regulator set<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_7'>\n\t\t\t\t\t\t\t\t<input name='input_19.7' type='checkbox'  value='BCD'  id='choice_15_19_7' tabindex='14'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_7' id='label_15_19_7'>BCD<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_8'>\n\t\t\t\t\t\t\t\t<input name='input_19.8' type='checkbox'  value='Diving torch'  id='choice_15_19_8' tabindex='15'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_8' id='label_15_19_8'>Diving torch<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_9'>\n\t\t\t\t\t\t\t\t<input name='input_19.9' type='checkbox'  value='Diving computer'  id='choice_15_19_9' tabindex='16'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_9' id='label_15_19_9'>Diving computer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_11'>\n\t\t\t\t\t\t\t\t<input name='input_19.11' type='checkbox'  value='Digital underwater camera'  id='choice_15_19_11' tabindex='17'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_11' id='label_15_19_11'>Digital underwater camera<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_12'>\n\t\t\t\t\t\t\t\t<input name='input_19.12' type='checkbox'  value='15 liter tank air'  id='choice_15_19_12' tabindex='18'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_12' id='label_15_19_12'>15 liter tank air<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_13'>\n\t\t\t\t\t\t\t\t<input name='input_19.13' type='checkbox'  value='12 liter tank nitrox'  id='choice_15_19_13' tabindex='19'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_13' id='label_15_19_13'>12 liter tank nitrox<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_15_19_14'>\n\t\t\t\t\t\t\t\t<input name='input_19.14' type='checkbox'  value='15 liter tank nitrox'  id='choice_15_19_14' tabindex='20'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_15_19_14' id='label_15_19_14'>15 liter tank nitrox<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_15_35' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Do you want lunch and\/or unlimited drinks on board.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_15_35'><li class='gchoice_15_35_0'><input name='input_35' type='radio' value='Yes'  id='choice_15_35_0' tabindex='21'  onclick='gf_apply_rules(15,[36]);'  \/><label for='choice_15_35_0' id='label_15_35_0'>Yes<\/label><\/li><li class='gchoice_15_35_1'><input name='input_35' type='radio' value='No'  id='choice_15_35_1' tabindex='22'  onclick='gf_apply_rules(15,[36]);'  \/><label for='choice_15_35_1' id='label_15_35_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_15_36' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_36' >Lunch choice<\/label><div class='ginput_container'><select name='input_36' id='input_15_36'  class='medium gfield_select' tabindex='23' ><option value='Make your choice...' selected='selected'>Make your choice...<\/option><option value='Lunch and unlimited drinks' >Lunch and unlimited drinks<\/option><option value='Unlimited drinks only' >Unlimited drinks only<\/option><option value='Lunch only' >Lunch only<\/option><\/select><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_15_8' class='gform_next_button button' value='Next' tabindex='24' onclick='jQuery(\"#gform_target_page_number_15\").val(\"2\");  jQuery(\"#gform_15\").trigger(\"submit\",[true]); ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_15_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_15_2' class='gform_fields top_label form_sublabel_above description_above'><li id='field_15_38' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_38_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix' id='input_15_38'>\n                            \n                            <span id='input_15_38_3_container' class='name_first' >\n                                                    <label for='input_15_38_3' >First name<\/label>\n                                                    <input type='text' name='input_38.3' id='input_15_38_3' value='' aria-label='First name' tabindex='26'  \/>\n                                                <\/span>\n                            \n                            <span id='input_15_38_6_container' class='name_last' >\n                                                            <label for='input_15_38_6' >Last name<\/label>\n                                                            <input type='text' name='input_38.6' id='input_15_38_6' value='' aria-label='Last name' tabindex='28'  \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_15_7' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_7' >Telephone number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_7' id='input_15_7' type='text' value='' class='medium'  tabindex='30'   \/><\/div><\/li><li id='field_15_27' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_27' >E-mail<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container' id='input_15_27_container'>\n                                <span id='input_15_27_1_container' class='ginput_left'>\n                                    <label for='input_15_27'>Your E-mail address<\/label>\n                                    <input class='' type='text' name='input_27' id='input_15_27' value='' tabindex='31'   placeholder='Your e-mail address'\/>\n                                <\/span>\n                                <span id='input_15_27_2_container' class='ginput_right'>\n                                    <label for='input_15_27_2' >Confirm your e-mail address<\/label>\n                                    <input class='' type='text' name='input_27_2' id='input_15_27_2' value='' tabindex='32'  placeholder='Confirm your e-mail address'\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_15_23' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_23' >In which hotel are you staying?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>If your hotel is not in this list, chances are that your hotel is not in Hurghada but in El Gouna, Sahl Hasheesh or Makdi Bay for which we cannot arrange the free transfers.<\/div><div class='ginput_container'><select name='input_23' id='input_15_23' onchange='gf_apply_rules(15,[30]);' class='medium gfield_select' tabindex='33' ><option value='Choose your hotel...' >Choose your hotel...<\/option><option value='Al Hambra' >Al Hambra<\/option><option value='Aladin' >Aladin<\/option><option value='Albatros Palace resort' >Albatros Palace resort<\/option><option value='Albatros White Beach' >Albatros White Beach<\/option><option value='Alf Leila wa Leila' >Alf Leila wa Leila<\/option><option value='Ali Baba' >Ali Baba<\/option><option value='AMC Azur' >AMC Azur<\/option><option value='Aqua Blu\/Sea World' >Aqua Blu\/Sea World<\/option><option value='Aqua Fun' >Aqua Fun<\/option><option value='Aqua Vista Resort' >Aqua Vista Resort<\/option><option value='Aquamarine Blue Marine' >Aquamarine Blue Marine<\/option><option value='Aquamarine Iberotel' >Aquamarine Iberotel<\/option><option value='Arabella azur' >Arabella azur<\/option><option value='Arabia beach' >Arabia beach<\/option><option value='Beach Albatros Resort' >Beach Albatros Resort<\/option><option value='Beirut' >Beirut<\/option><option value='Bel air Resort' >Bel air Resort<\/option><option value='Bella Vista Beach Resort' >Bella Vista Beach Resort<\/option><option value='Calimera (Movie Gate)' >Calimera (Movie Gate)<\/option><option value='Caves Beach Resort' >Caves Beach Resort<\/option><option value='Charm life paradise resort' >Charm life paradise resort<\/option><option value='Continental Resort' >Continental Resort<\/option><option value='Coral beach' >Coral beach<\/option><option value='Dana beach Resort' >Dana beach Resort<\/option><option value='Desert Inn' >Desert Inn<\/option><option value='Desert Rose' >Desert Rose<\/option><option value='Eiffel' >Eiffel<\/option><option value='El Samaka' >El Samaka<\/option><option value='El Tabia' >El Tabia<\/option><option value='Emerald Resort' >Emerald Resort<\/option><option value='Geisum' >Geisum<\/option><option value='Giftun beach resort' >Giftun beach resort<\/option><option value='Golden 5' >Golden 5<\/option><option value='Golden Rose' >Golden Rose<\/option><option value='Golden Sands apartments' >Golden Sands apartments<\/option><option value='Golden sun' >Golden sun<\/option><option value='Golf hotel' >Golf hotel<\/option><option value='Grand Azur Horizon' >Grand Azur Horizon<\/option><option value='Grand hotel' >Grand hotel<\/option><option value='Grand Plaza' >Grand Plaza<\/option><option value='Grand resort' >Grand resort<\/option><option value='Grand seas hostmark' >Grand seas hostmark<\/option><option value='Green palace' >Green palace<\/option><option value='Hawaii Riviera' >Hawaii Riviera<\/option><option value='Hilton long beach' >Hilton long beach<\/option><option value='Hilton plaza' >Hilton plaza<\/option><option value='Hilton Resort' >Hilton Resort<\/option><option value='Hor place' >Hor place<\/option><option value='Jasmine Palace' >Jasmine Palace<\/option><option value='Jasmine village' >Jasmine village<\/option><option value='JAZ Aquamarine' >JAZ Aquamarine<\/option><option value='Jungle Aqua Park' >Jungle Aqua Park<\/option><option value='King Tut' >King Tut<\/option><option value='La Perla' >La Perla<\/option><option value='Lamera hotel' >Lamera hotel<\/option><option value='Le Pacha' >Le Pacha<\/option><option value='Les Rois' >Les Rois<\/option><option value='Lillyland' >Lillyland<\/option><option value='LTI Pyramisa beach resort' >LTI Pyramisa beach resort<\/option><option value='Luxor Hotel' >Luxor Hotel<\/option><option value='Magawish' >Magawish<\/option><option value='Magic Beach' >Magic Beach<\/option><option value='Mariott' >Mariott<\/option><option value='Marlin Inn' >Marlin Inn<\/option><option value='Meraki Resort' >Meraki Resort<\/option><option value='Mercure Hotel (Sofitel)' >Mercure Hotel (Sofitel)<\/option><option value='Minamark' >Minamark<\/option><option value='Mirage New Hawaii (Marmara)' >Mirage New Hawaii (Marmara)<\/option><option value='Mirette resort' >Mirette resort<\/option><option value='Moon valley' >Moon valley<\/option><option value='Nefertity' >Nefertity<\/option><option value='New Ramoza' >New Ramoza<\/option><option value='Oasis Resort Aquapark' >Oasis Resort Aquapark<\/option><option value='Old Vic' >Old Vic<\/option><option value='Palm Beach resort' >Palm Beach resort<\/option><option value='Palma' >Palma<\/option><option value='Panorama bunglow resort' >Panorama bunglow resort<\/option><option value='Prima Life Topaz' >Prima Life Topaz<\/option><option value='Princess resort' >Princess resort<\/option><option value='Pyramisa Blue Lagoon' >Pyramisa Blue Lagoon<\/option><option value='Raballa' >Raballa<\/option><option value='Reemyvera' >Reemyvera<\/option><option value='Regina Style' >Regina Style<\/option><option value='Roma' >Roma<\/option><option value='Safir' >Safir<\/option><option value='Safira Bay' >Safira Bay<\/option><option value='Sand beach' >Sand beach<\/option><option value='Santa Maria' >Santa Maria<\/option><option value='Sea garden' >Sea garden<\/option><option value='Sea Gull beach club' >Sea Gull beach club<\/option><option value='Sea Gull beach resort' >Sea Gull beach resort<\/option><option value='Sea Star beau Rivage' >Sea Star beau Rivage<\/option><option value='Sea World' >Sea World<\/option><option value='Sentido Mamlouk Palace' >Sentido Mamlouk Palace<\/option><option value='Shedwan garden' >Shedwan garden<\/option><option value='Sindbad al Mashrabiya' >Sindbad al Mashrabiya<\/option><option value='Sindbad aquapark' >Sindbad aquapark<\/option><option value='Sindbad beach resort' >Sindbad beach resort<\/option><option value='Siva Grand beach' >Siva Grand beach<\/option><option value='Smartline Color Beach' >Smartline Color Beach<\/option><option value='Sonesta Pharaoh hotel' >Sonesta Pharaoh hotel<\/option><option value='Souvenir hotel' >Souvenir hotel<\/option><option value='Steigenberger Al Dau Beach hotel' >Steigenberger Al Dau Beach hotel<\/option><option value='Steigenberger Aqua Magic hotel' >Steigenberger Aqua Magic hotel<\/option><option value='Sultan beach' >Sultan beach<\/option><option value='Sultana' >Sultana<\/option><option value='Sun &amp; Sea' >Sun &amp; Sea<\/option><option value='Sunny days el Palacio' >Sunny days el Palacio<\/option><option value='Sunrise Crystal Bay' >Sunrise Crystal Bay<\/option><option value='Sunrise Festival Le Jardin resort' >Sunrise Festival Le Jardin resort<\/option><option value='Sunrise Holiday resort' >Sunrise Holiday resort<\/option><option value='Sunrise select garden beach' >Sunrise select garden beach<\/option><option value='Swiss Wellness' >Swiss Wellness<\/option><option value='Three Corners Royal Star' >Three Corners Royal Star<\/option><option value='Three Corners Sunny Beach' >Three Corners Sunny Beach<\/option><option value='Titanic Beach &amp; spa' >Titanic Beach &amp; spa<\/option><option value='Titanic Palace' >Titanic Palace<\/option><option value='Titanic Resort Aquapark' >Titanic Resort Aquapark<\/option><option value='Triton Empire beach' >Triton Empire beach<\/option><option value='Triton Empire Hotel' >Triton Empire Hotel<\/option><option value='Zahabia Garden' >Zahabia Garden<\/option><option value='Zak Royal wings' >Zak Royal wings<\/option><option value='Other hotel' >Other hotel<\/option><\/select><\/div><\/li><li id='field_15_30' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_30' >Name of your hotel<\/label><div class='gfield_description'>Keep in mind that if the hotel is outside of hurghada, extra costs may be charged for the transfer fee.<\/div><div class='ginput_container'><input name='input_30' id='input_15_30' type='text' value='' class='medium'  tabindex='34'   \/><\/div><\/li><li id='field_15_28' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_15_28' >Extra information<\/label><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_28' id='input_15_28' 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