document.writeln('<form action="request.php" method="post" name="formulario" id="formulario" target="_self">');
document.writeln('<table width="90%" border="0" cellspacing="0" cellpadding="0" class="texto_form">');
document.writeln('<tr>');
document.writeln('<td height="20" colspan="4">&nbsp;</td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td height="20" colspan="4"><input name="vhc" type="hidden"  value="002"/>Location*  <select id="combolugaresrecogida" name="lgr" onchange="borraPrecio();"><option value="0">Choose location...</option><option selected value="5">Malaga Airport</option><option value="1">Marbella</option></select></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td height="20" colspan="4">&nbsp;</td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td colspan="3"  rowspan="1" align="left">');
document.writeln('<select name="day_rtr" onchange="borraPrecio();"><option value="0">Day</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 selected="selected" value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select><select name="msn_rtr" onchange="ColocaMes();"><option value="0">Year & month</option><option selected="selected" value="24128">2010 September</option><option value="24129">2010 October</option><option value="24130">2010 November</option><option value="24131">2010 December</option><option value="24132">2011 January</option><option value="24133">2011 February</option><option value="24134">2011 March</option><option value="24135">2011 April</option><option value="24136">2011 May</option><option value="24137">2011 June</option><option value="24138">2011 July</option><option value="24139">2011 August</option></select><select name="hrm_rtr" onchange="borraPrecio();"><option value="0000">00:00</option><option value="0030">00:30</option><option value="0100">01:00</option><option value="0130">01:30</option><option value="0200">02:00</option><option value="0230">02:30</option><option value="0300">03:00</option><option value="0330">03:30</option><option value="0400">04:00</option><option value="0430">04:30</option><option value="0500">05:00</option><option value="0530">05:30</option><option value="0600">06:00</option><option value="0630">06:30</option><option value="0700">07:00</option><option value="0730">07:30</option><option value="0800">08:00</option><option value="0830">08:30</option><option value="0900">09:00</option><option value="0930">09:30</option><option selected="selected" value="1000">10:00</option><option value="1030">10:30</option><option value="1100">11:00</option><option value="1130">11:30</option><option value="1200">12:00</option><option value="1230">12:30</option><option value="1300">13:00</option><option value="1330">13:30</option><option value="1400">14:00</option><option value="1430">14:30</option><option value="1500">15:00</option><option value="1530">15:30</option><option value="1600">16:00</option><option value="1630">16:30</option><option value="1700">17:00</option><option value="1730">17:30</option><option value="1800">18:00</option><option value="1830">18:30</option><option value="1900">19:00</option><option value="1930">19:30</option><option value="2000">20:00</option><option value="2030">20:30</option><option value="2100">21:00</option><option value="2130">21:30</option><option value="2200">22:00</option><option value="2230">22:30</option><option value="2300">23:00</option><option value="2330">23:30</option></select>  From:');
document.writeln('</td>');
document.writeln('<td colspan="1"  rowspan="2" align="center" class="precio"><strong>529.83 &euro;</strong></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td colspan="3"  rowspan="1" align="left">');
document.writeln('<select name="day_ent" onchange="borraPrecio();"><option value="0">Day</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><option value="13">13</option><option value="14">14</option><option selected="selected" value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select><select name="msn_ent" onchange="borraPrecio();"><option value="0">Year & month</option><option selected="selected" value="24128">2010 September</option><option value="24129">2010 October</option><option value="24130">2010 November</option><option value="24131">2010 December</option><option value="24132">2011 January</option><option value="24133">2011 February</option><option value="24134">2011 March</option><option value="24135">2011 April</option><option value="24136">2011 May</option><option value="24137">2011 June</option><option value="24138">2011 July</option><option value="24139">2011 August</option></select><select name="hrm_ent" onchange="borraPrecio();"><option value="0000">00:00</option><option value="0030">00:30</option><option value="0100">01:00</option><option value="0130">01:30</option><option value="0200">02:00</option><option value="0230">02:30</option><option value="0300">03:00</option><option value="0330">03:30</option><option value="0400">04:00</option><option value="0430">04:30</option><option value="0500">05:00</option><option value="0530">05:30</option><option value="0600">06:00</option><option value="0630">06:30</option><option value="0700">07:00</option><option value="0730">07:30</option><option value="0800">08:00</option><option value="0830">08:30</option><option value="0900">09:00</option><option value="0930">09:30</option><option selected="selected" value="1000">10:00</option><option value="1030">10:30</option><option value="1100">11:00</option><option value="1130">11:30</option><option value="1200">12:00</option><option value="1230">12:30</option><option value="1300">13:00</option><option value="1330">13:30</option><option value="1400">14:00</option><option value="1430">14:30</option><option value="1500">15:00</option><option value="1530">15:30</option><option value="1600">16:00</option><option value="1630">16:30</option><option value="1700">17:00</option><option value="1730">17:30</option><option value="1800">18:00</option><option value="1830">18:30</option><option value="1900">19:00</option><option value="1930">19:30</option><option value="2000">20:00</option><option value="2030">20:30</option><option value="2100">21:00</option><option value="2130">21:30</option><option value="2200">22:00</option><option value="2230">22:30</option><option value="2300">23:00</option><option value="2330">23:30</option></select>  To:');
document.writeln('</td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td colspan="4" align="center">&nbsp;</td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td width="90" align="center">Full Name*</td>');
document.writeln('<td><input name="name" type="text" value=""/ class="input_form"></td>');
document.writeln('<td width="90" align="center">Arrival Flight*</td>');
document.writeln('<td align="right"><input name="flight" type="text" value=""/ class="input_form"></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td align="center">Email*</td>');
document.writeln('<td><input name="email" type="text" value=""/ class="input_form"></td>');
document.writeln('<td align="center">Mobile*</td>');
document.writeln('<td align="right"><input name="mobile" type="text" value=""/ class="input_form"></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td align="center">Repeat Email*</td>');
document.writeln('<td><input name="repeatemail" type="text" value=""/ class="input_form"></td>');
document.writeln('<td align="center">Comments</td>');
document.writeln('<td align="right"><input name="comments" type="text" value=""/ class="input_form"></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('<td height="30" colspan="2" align="center">Fields marked with * are required!</td>');
document.writeln('<td colspan="2" align="right"><a href="Javascript:Send_form();"><img src="images/main03_button_english.jpg" border="0"></a></td>');
document.writeln('</tr>');
document.writeln('<tr>');
document.writeln('</tr>');
document.writeln('</table>');
document.writeln('</form>');
