<div class="row">
    <div class="col-md-12">
        <h4>On Signer Traveler, Origin Information:</h4>
    </div>
    <div class="col-md-6">
    	<p>
            Name(s)
            [text onsinger-text-40 class:travelers_name placeholder "e.g. Max, David, Matt" ]
        </p>
    </div>
    <div class="col-md-6">
        <p>Surname(s)
            [text Surname-text-40 placeholder "e.g. Cutt, Gallardo, Cutt"]
        </p>
    </div>
    <div class="col-md-3">
        <p>
            * Number of Traveler(s)
            [number* no-Travelers min:1 max:99]
        </p>
    </div>
    <div class="col-md-9">
        <p>* Cell Phone #
            [tel* cell-tel-264]<span class="smalltext">(If SeaFarer phone number is not available then input your phone number and deselect Apple Crew tracking at bottom of page)</span>
        </p>
    </div>
    <div class="col-md-6">
        <p>Departure Country
            [text country-text-40]
        </p>
    </div>
    <div class="col-md-6">
        <p>Departure City
            [text city-text-40]
        </p>
    </div>
    <div class="col-md-6">
        <p>Airlines Name
            [text Airlines-text-40]
        </p>
    </div>
    <div class="col-md-6">
        <p>Flight #
            [text Flight-text-40]
        </p>
    </div>
    <div class="col-md-12">
        <h4>ON SIGNER SHUTTLE PICK-UP & Arrival Information
        </h4>
    </div>
    <div class="col-md-6">
        <p>* Date
            [date* date-983 id:reservation_date]
        </p>
    </div>
    <div class="col-md-6">
        <p class="input-group clockpicker" data-placement="bottom" data-align="top" data-autoclose="true">* Time
            [text* journey-text-488 class:form-control]
        </p>
    </div>
    <div class="col-md-6">
        <p>* Airlines Name 
            [text Airlines-text-41]
        </p>
    </div>
    <div class="col-md-6">
        <p>* Flight #
            [text Flight-text-41]
        </p>
    </div>
    <div class="col-md-12">
        <h4>ON SIGNER SHUTTLE DESTINATION INFORMATION
        </h4>
    </div>
    <div class="col-md-6">
        <p>HOTEL
            [text HOTEL-text-190]
        </p>
    </div>
    <div class="col-md-6">
        <p>ACTS Lounge
            [text Lounge-text-190]
        </p>
    </div>
    <div class="col-md-6">
        <p> PickUp Date
            [date* PickUp-date-8934 id:reservation_date]
        </p>
    </div>
    <div class="col-md-6">
        <p class=" clockpicker" data-placement="bottom" data-align="top" data-autoclose="true">PickUp Time 
            [text* PickUpTime-text-8988 class:form-control ]
        </p>
    </div>
    <div class="col-md-4 ">
        <p>Ship Name
            [text ship-name id:select2_ship_name]
        </p>
    </div>
    <div class="col-md-4">
        <p>Ship #
            [text ship-number id:ship_no_val]
        </p>
    </div>
    <div class="col-md-4">
        <p>* Ship Location
            [select* ship-location class:ship_location]
        </p>
    </div>
    <div class="col-md-6">
        <p>* Ship ETA Date
            [date* date-9834 id:reservation_date]
        </p>
    </div>
    <div class="col-md-6">
        <p class=" clockpicker" data-placement="bottom" data-align="top" data-autoclose="true">* Time
            [text* journey-text-4888 class:form-control ]
        </p>
    </div>
    <div class="col-md-12">
        <p>* I want Agent Updates and Tracking during times of Travel, and I have informed the traveler to accept the Agent Crew Tracking text during travel?
            [radio sradio-9797 default:1 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-4" style="text-align: center;">
        <p>CBP Service
            [radio radio-485 default:2 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-4" style="text-align: center;">
        <p>Gate & TWIC Service
            [radio radio-4855 default:2 "Yes" "No"]
        </p>
    </div>
    <div class="col-md-4" style="text-align: center;">
        <p>Boarding Pass Service
            [radio radio-48555 default:2 "Yes" "No"]
        </p>
    </div>
   
    <div class="col-md-4">
        <div class="single-contact-field">
            [hidden total_price class:total_price ]
            [submit id:submit class:gauto-theme-btn "Submit"]
        </div>
    </div>
    <div class="col-md-12">
        <p><span class="smalltext">* The proprietary tracking software used on this site is experimental and still underdevelopment; therefore the company nor any of its affiliates, can make any guarantees regarding it’s reliability or accuracy at this time.</span></p>
    </div>
</div>
1
Apple Core Transportation Solutions LLC. "ON SIGNER SHUTTLE PICK-UP"
Apple Core Transportation Solutions LLC. <contact@applecoretrans.sapphiresolutions.net>
darshan.modi@sapphiresolutions.net
<strong>On Signer Traveler, Origin Information</strong>

Number of Traveler(s): [no-Travelers]

Name(s): [onsinger-text-40]

Surname(s): [Surname-text-40]

Cell Phone #: [cell-tel-264]

Departure Country: [country-text-40]

Departure City: [city-text-40]

Airlines Name: [Airlines-text-40]

Flight #: [Flight-text-40]

<Strong> ON SIGNER SHUTTLE DESTINATION INFORMATION </strong>

Date: [date-983]

Time: [journey-text-488]

Airlines Name: [Airlines-text-41]

Flight #: [Flight-text-41]

<strong>ON SIGNER SHUTTLE PICK-UP & Arrival Information</strong>

HOTEL: [HOTEL-text-190]

ACTS Lounge: [Lounge-text-190]

Hotel Pickup Date: [PickUp-date-8934]

Hotel Pickup Time: [PickUpTime-text-8988]

Ship Name: [ship-name]

Ship #: [ship-number]

Ship Location: [ship-location]

Ship ETA Date: [date-9834]

Time: [journey-text-4888]

Updates: [sradio-9797]

CBP Service: [radio-485]

Gate & TWIC Service: [radio-4855]

Boarding Pass Service: [radio-48555]

Price: [total_price]

Order Id: {order_id}

-- 
This e-mail was sent from a contact form on Apple Core Transportation Solutions LLC. (https://applecoretrans.com/)
Cc: darshan.modi@sapphiresolutions.net

1


Apple Core Transportation Solutions LLC. "[your-subject]"
Apple Core Transportation Solutions LLC. <wordpress@onlinenaukrijobs.in>
[your-email]
Message Body:
[your-message]

-- 
This e-mail was sent from a contact form on Apple Core Transportation Solutions LLC. (http://onlinenaukrijobs.in/carvmapple)
Reply-To: victor@dialforweb.com



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