{"id":1863,"date":"2016-06-12T18:51:54","date_gmt":"2016-06-12T18:51:54","guid":{"rendered":"http:\/\/www.voodoodivers.com\/site\/?page_id=1863"},"modified":"2022-07-21T04:24:37","modified_gmt":"2022-07-21T04:24:37","slug":"ik-heb-een-duikbrevet-en-wil-een-vervolgcursus-doen","status":"publish","type":"page","link":"https:\/\/www.voodoodivers.com\/nl_NL\/reserveren\/ik-heb-een-duikbrevet-en-wil-een-vervolgcursus-doen\/","title":{"rendered":"ik heb een duikbrevet en wil een vervolgcursus doen"},"content":{"rendered":"\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_12' style='display:none'><a id='gf_12' name='gf_12' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/nl_NL\/wp-json\/wp\/v2\/pages\/1863#gf_12'>\n                        <div class='gform_heading'>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n                    <div id='gf_page_steps_12' class='gf_page_steps'>\n                        <div id='gf_step_12_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>duik informatie<\/span><\/div>\n                        <div id='gf_step_12_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Cursussen en specialties bijboeken<\/span><\/div>\n                        <div id='gf_step_12_3' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>3<\/span>&nbsp;<span class='gf_step_label'>NAW en boekingsinformatie<\/span><\/div>\n                        <div class='gf_step_clear'><\/div>\n                    <\/div>\n                        <div class='gform_body'><div id='gform_page_12_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_10' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_10' >Startdatum reservering<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Dit is de startdatum van uw reservering bij Voodoo Divers.<\/div><div class='ginput_container'>\n                            <input name='input_10' id='input_12_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_12_10' class='gform_hidden' value='https:\/\/www.voodoodivers.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_12_32' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_32' >Wat is uw hoogst behaalde brevet?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_32' id='input_12_32' type='text' value='' class='medium'  tabindex='2'   \/><\/div><\/li><li id='field_12_33' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_33' >Wat is uw aantal gelogde duiken?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_33' id='input_12_33' type='text'    value='' class='medium' tabindex='3'    \/><\/div><\/li><li id='field_12_34' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_34' >Wanneer was uw laatst gelogde duik?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_34' id='input_12_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_12_34' class='gform_hidden' value='https:\/\/www.voodoodivers.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_12_42' class='gform_next_button button' value='Volgende' tabindex='5' onclick='jQuery(\"#gform_target_page_number_12\").val(\"2\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_2' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_40' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Kies uw vervolg cursus<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_40'><li class='gchoice_12_40_1'>\n\t\t\t\t\t\t\t\t<input name='input_40.1' type='checkbox'  value='PADI Adventure Diver Cursus'  id='choice_12_40_1' tabindex='6'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_40_1' id='label_12_40_1'>PADI Adventure Diver Cursus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_40_2'>\n\t\t\t\t\t\t\t\t<input name='input_40.2' type='checkbox'  value='PADI Advanced Open Water Diver Cursus'  id='choice_12_40_2' tabindex='7'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_40_2' id='label_12_40_2'>PADI Advanced Open Water Diver Cursus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_40_3'>\n\t\t\t\t\t\t\t\t<input name='input_40.3' type='checkbox'  value='PADI Emergency First Response Cursus'  id='choice_12_40_3' tabindex='8'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_40_3' id='label_12_40_3'>PADI Emergency First Response Cursus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_40_4'>\n\t\t\t\t\t\t\t\t<input name='input_40.4' type='checkbox'  value='PADI Rescue Diver Cursus'  id='choice_12_40_4' tabindex='9'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_40_4' id='label_12_40_4'>PADI Rescue Diver Cursus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_40_5'>\n\t\t\t\t\t\t\t\t<input name='input_40.5' type='checkbox'  value='PADI Master Scuba Diver Cursus'  id='choice_12_40_5' tabindex='10'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_40_5' id='label_12_40_5'>PADI Master Scuba Diver Cursus<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_40_6'>\n\t\t\t\t\t\t\t\t<input name='input_40.6' type='checkbox'  value='PADI Divemaster Cursus'  id='choice_12_40_6' tabindex='11'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_40_6' id='label_12_40_6'>PADI Divemaster Cursus<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_12_41' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Welke specialty wilt u boeken<\/label><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_41'><li class='gchoice_12_41_1'>\n\t\t\t\t\t\t\t\t<input name='input_41.1' type='checkbox'  value='PADI Diepduikspecialty'  id='choice_12_41_1' tabindex='12'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_1' id='label_12_41_1'>PADI Diepduikspecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_2'>\n\t\t\t\t\t\t\t\t<input name='input_41.2' type='checkbox'  value='PADI Nachtduikspecialty'  id='choice_12_41_2' tabindex='13'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_2' id='label_12_41_2'>PADI Nachtduikspecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_3'>\n\t\t\t\t\t\t\t\t<input name='input_41.3' type='checkbox'  value='PADI Wrakduikspecialty'  id='choice_12_41_3' tabindex='14'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_3' id='label_12_41_3'>PADI Wrakduikspecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_4'>\n\t\t\t\t\t\t\t\t<input name='input_41.4' type='checkbox'  value='PADI Navigatiespecialty'  id='choice_12_41_4' tabindex='15'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_4' id='label_12_41_4'>PADI Navigatiespecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_5'>\n\t\t\t\t\t\t\t\t<input name='input_41.5' type='checkbox'  value='PADI Aware Visherkenningsspecialty'  id='choice_12_41_5' tabindex='16'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_5' id='label_12_41_5'>PADI Aware Visherkenningsspecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_6'>\n\t\t\t\t\t\t\t\t<input name='input_41.6' type='checkbox'  value='PADI Onderwaterfotografiespecialty'  id='choice_12_41_6' tabindex='17'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_6' id='label_12_41_6'>PADI Onderwaterfotografiespecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_7'>\n\t\t\t\t\t\t\t\t<input name='input_41.7' type='checkbox'  value='PADI Bootduikspecialty'  id='choice_12_41_7' tabindex='18'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_7' id='label_12_41_7'>PADI Bootduikspecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_8'>\n\t\t\t\t\t\t\t\t<input name='input_41.8' type='checkbox'  value='PADI Driftduikspecialty'  id='choice_12_41_8' tabindex='19'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_8' id='label_12_41_8'>PADI Driftduikspecialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_9'>\n\t\t\t\t\t\t\t\t<input name='input_41.9' type='checkbox'  value='PADI Nitrox (EANX) Specialty'  id='choice_12_41_9' tabindex='20'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_9' id='label_12_41_9'>PADI Nitrox (EANX) Specialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_11'>\n\t\t\t\t\t\t\t\t<input name='input_41.11' type='checkbox'  value='PADI Peak performance buoyancy specialty'  id='choice_12_41_11' tabindex='21'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_11' id='label_12_41_11'>PADI Peak performance buoyancy specialty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_41_12'>\n\t\t\t\t\t\t\t\t<input name='input_41.12' type='checkbox'  value='PADI Zoeken en bergen specialty'  id='choice_12_41_12' tabindex='22'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_41_12' id='label_12_41_12'>PADI Zoeken en bergen specialty<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_12_21' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_21' >Wilt u na uw cursus\/specialty nog duikdagen boeken?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Kies het aantal dagen dat u wilt duiken<\/div><div class='ginput_container'><select name='input_21' id='input_12_21'  class='medium gfield_select' tabindex='23' ><option value='Maak uw keuze...' >Maak uw keuze...<\/option><option value='geen' >Geen<\/option><option value='1 dag bootduiken (2 duiken)' >1 dag bootduiken (2 duiken)<\/option><option value='2 dagen bootduiken (4 duiken)' >2 dagen bootduiken (4 duiken)<\/option><option value='3 dagen bootduiken (6 duiken)' >3 dagen bootduiken (6 duiken)<\/option><option value='4 dagen bootduiken (8 duiken)' >4 dagen bootduiken (8 duiken)<\/option><option value='5 dagen bootduiken (10 duiken)' >5 dagen bootduiken (10 duiken)<\/option><option value='6 dagen bootduiken (12 duiken)' >6 dagen bootduiken (12 duiken)<\/option><option value='7 dagen bootduiken (14 duiken)' >7 dagen bootduiken (14 duiken)<\/option><option value='8 dagen bootduiken (16 duiken)' >8 dagen bootduiken (16 duiken)<\/option><option value='9 dagen bootduiken (18 duiken)' >9 dagen bootduiken (18 duiken)<\/option><option value='10 dagen bootduiken (20 duiken)' >10 dagen bootduiken (20 duiken)<\/option><option value='Meer dan 10 dagen bootduiken' >Meer dan 10 dagen bootduiken<\/option><\/select><\/div><\/li><li id='field_12_18' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Duikuitrusting reserveren?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_12_18'><li class='gchoice_12_18_0'><input name='input_18' type='radio' value='Ja ik wil graag duikuitrusting reserveren'  id='choice_12_18_0' tabindex='24'  onclick='gf_apply_rules(12,[19]);'  \/><label for='choice_12_18_0' id='label_12_18_0'>Ja ik wil graag duikuitrusting reserveren<\/label><\/li><li class='gchoice_12_18_1'><input name='input_18' type='radio' value='Nee ik wil geen extra duikuitrusting reserveren' checked='checked' id='choice_12_18_1' tabindex='25'  onclick='gf_apply_rules(12,[19]);'  \/><label for='choice_12_18_1' id='label_12_18_1'>Nee ik wil geen extra duikuitrusting reserveren<\/label><\/li><\/ul><\/div><\/li><li id='field_12_19' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Welke duikuitrusting wil ik reserveren?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'><font style=\"color:#ffb400\">Let op: een complete duikuitrusting bestaat uit een masker, snorkel, vinnen, Neopreen natpak 5mm, automatenset en trimvest<\/font><\/div><div class='ginput_container'><ul class='gfield_checkbox' id='input_12_19'><li class='gchoice_12_19_1'>\n\t\t\t\t\t\t\t\t<input name='input_19.1' type='checkbox'  value='Complete duikuitrusting'  id='choice_12_19_1' tabindex='26'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_1' id='label_12_19_1'>Complete duikuitrusting<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_2'>\n\t\t\t\t\t\t\t\t<input name='input_19.2' type='checkbox'  value='Masker'  id='choice_12_19_2' tabindex='27'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_2' id='label_12_19_2'>Masker<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_3'>\n\t\t\t\t\t\t\t\t<input name='input_19.3' type='checkbox'  value='Snorkel'  id='choice_12_19_3' tabindex='28'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_3' id='label_12_19_3'>Snorkel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_4'>\n\t\t\t\t\t\t\t\t<input name='input_19.4' type='checkbox'  value='Vinnen'  id='choice_12_19_4' tabindex='29'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_4' id='label_12_19_4'>Vinnen<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_5'>\n\t\t\t\t\t\t\t\t<input name='input_19.5' type='checkbox'  value='Neopreen natpak 5mm (shorty of lang)'  id='choice_12_19_5' tabindex='30'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_5' id='label_12_19_5'>Neopreen natpak 5mm (shorty of lang)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_6'>\n\t\t\t\t\t\t\t\t<input name='input_19.6' type='checkbox'  value='Automatenset'  id='choice_12_19_6' tabindex='31'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_6' id='label_12_19_6'>Automatenset<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_7'>\n\t\t\t\t\t\t\t\t<input name='input_19.7' type='checkbox'  value='Trimvest'  id='choice_12_19_7' tabindex='32'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_7' id='label_12_19_7'>Trimvest<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_8'>\n\t\t\t\t\t\t\t\t<input name='input_19.8' type='checkbox'  value='Duiklamp'  id='choice_12_19_8' tabindex='33'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_8' id='label_12_19_8'>Duiklamp<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_9'>\n\t\t\t\t\t\t\t\t<input name='input_19.9' type='checkbox'  value='Duikcomputer'  id='choice_12_19_9' tabindex='34'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_9' id='label_12_19_9'>Duikcomputer<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_11'>\n\t\t\t\t\t\t\t\t<input name='input_19.11' type='checkbox'  value='Digitale Onderwatercamera'  id='choice_12_19_11' tabindex='35'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_11' id='label_12_19_11'>Digitale Onderwatercamera<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_12'>\n\t\t\t\t\t\t\t\t<input name='input_19.12' type='checkbox'  value='15 liter fles lucht'  id='choice_12_19_12' tabindex='36'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_12' id='label_12_19_12'>15 liter fles lucht<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_13'>\n\t\t\t\t\t\t\t\t<input name='input_19.13' type='checkbox'  value='12 liter fles nitrox'  id='choice_12_19_13' tabindex='37'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_13' id='label_12_19_13'>12 liter fles nitrox<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_12_19_14'>\n\t\t\t\t\t\t\t\t<input name='input_19.14' type='checkbox'  value='15 liter fles nitrox'  id='choice_12_19_14' tabindex='38'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_19_14' id='label_12_19_14'>15 liter fles nitrox<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_12_35' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Wilt u gebruik maken van lunch en\/of drinken aan boord?<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Lunch inclusief ongelimiteerd bronwater\/koffie\/thee is 6 Euro per dag, blikjes frisdrank zijn 1 Euro. Dit betaal je rechtstreeks aan de bootcrew. Neem hiervoor dus altijd wat kleingeld\u00a0mee\u00a0aan\u00a0boord<\/div><div class='ginput_container'><ul class='gfield_radio' id='input_12_35'><li class='gchoice_12_35_0'><input name='input_35' type='radio' value='Ja'  id='choice_12_35_0' tabindex='39'  onclick='gf_apply_rules(12,[36]);'  \/><label for='choice_12_35_0' id='label_12_35_0'>Ja<\/label><\/li><li class='gchoice_12_35_1'><input name='input_35' type='radio' value='Nee'  id='choice_12_35_1' tabindex='40'  onclick='gf_apply_rules(12,[36]);'  \/><label for='choice_12_35_1' id='label_12_35_1'>Nee<\/label><\/li><\/ul><\/div><\/li><li id='field_12_36' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_36' >Lunchkeuze<\/label><div class='ginput_container'><select name='input_36' id='input_12_36'  class='medium gfield_select' tabindex='41' ><option value='Maak uw keuze...' selected='selected'>Maak uw keuze...<\/option><option value='Lunch en onbeperkt drinken' >Lunch en onbeperkt drinken<\/option><option value='Onbeperkt drinken' >Onbeperkt drinken<\/option><option value='Alleen lunch' >Alleen lunch<\/option><\/select><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_12_8' class='gform_previous_button button' value='Vorige' tabindex='43' onclick='jQuery(\"#gform_target_page_number_12\").val(\"1\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_12_8' class='gform_next_button button' value='Volgende' tabindex='42' onclick='jQuery(\"#gform_target_page_number_12\").val(\"3\");  jQuery(\"#gform_12\").trigger(\"submit\",[true]); ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_12_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_12_3' class='gform_fields top_label form_sublabel_above description_above'><li id='field_12_43' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_43_3' >Naam<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_12_43'>\n                            \n                            <span id='input_12_43_3_container' class='name_first' >\n                                                    <label for='input_12_43_3' >Voornaam*<\/label>\n                                                    <input type='text' name='input_43.3' id='input_12_43_3' value='' aria-label='First name' tabindex='45'  \/>\n                                                <\/span>\n                            \n                            <span id='input_12_43_6_container' class='name_last' >\n                                                            <label for='input_12_43_6' >Achternaam*<\/label>\n                                                            <input type='text' name='input_43.6' id='input_12_43_6' value='' aria-label='Last name' tabindex='47'  \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_12_7' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_7' >Telefoon<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><input name='input_7' id='input_12_7' type='text' value='' class='medium'  tabindex='49'   \/><\/div><\/li><li id='field_12_27' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_27' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container' id='input_12_27_container'>\n                                <span id='input_12_27_1_container' class='ginput_left'>\n                                    <label for='input_12_27'>Vul uw e-mail adres in<\/label>\n                                    <input class='' type='text' name='input_27' id='input_12_27' value='' tabindex='50'   placeholder='Vul uw e-mail adres in'\/>\n                                <\/span>\n                                <span id='input_12_27_2_container' class='ginput_right'>\n                                    <label for='input_12_27_2' >Bevestig uw e-mail adres<\/label>\n                                    <input class='' type='text' name='input_27_2' id='input_12_27_2' value='' tabindex='51'  placeholder='Vul nogmaals uw e-mail adres in'\/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id='field_12_23' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_23' >In welk hotel verblijft u?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><select name='input_23' id='input_12_23' onchange='gf_apply_rules(12,[30]);' class='medium gfield_select' tabindex='52' ><option value='Kies een hotel' >Kies een 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='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' >Aqua Vista<\/option><option value='Arabella azur' >Arabella azur<\/option><option value='Arabia beach' >Arabia beach<\/option><option value='Beach Albatros garden' >Beach Albatros garden<\/option><option value='Beach Albatros hotel' >Beach Albatros hotel<\/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='Charm life paradise resort' >Charm life paradise resort<\/option><option value='Coral beach' >Coral beach<\/option><option value='Dana beach' >Dana beach<\/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='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='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='Intercontinental resort' >Intercontinental resort<\/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 Park' >Jungle 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='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='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='Royal palace' >Royal palace<\/option><option value='Safir' >Safir<\/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 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='Ander hotel namelijk' >Ander hotel namelijk<\/option><\/select><\/div><\/li><li id='field_12_30' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_30' >Naam hotel<\/label><div class='gfield_description'>Houd er rekening mee dat indien dit hotel buiten Hurghada ligt, er extra kosten in rekening gebracht kunnen worden voor de transfer fee<\/div><div class='ginput_container'><input name='input_30' id='input_12_30' type='text' value='' class='medium'  tabindex='53'   \/><\/div><\/li><li id='field_12_28' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_28' >Extra informatie \/ vragen<\/label><div class='ginput_container'>\n\t\t\t\t\t<textarea name='input_28' id='input_12_28' class='textarea medium' tabindex='54'    rows='10' cols='50'><\/textarea>\n\t\t\t\t<\/div><\/li><li id='field_12_45' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_12_45' >captcha<\/label><div class=\"ginput_container\"><div class=\"g-recaptcha\" 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