ok
Mini Shell
<div class="modal-header bg-theme-colored">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
<h4 class="modal-title text-white" id="myModalLabel">Members’ Booking Form</h4>
</div>
<div class="p-40">
<!-- Booking Form Starts -->
<form id="booking_form" name="booking_form" class="" action="https://kodesolution.com/html/2016/health-zone-html/demo/ajax-load/includes/booking-spa.php" method="post">
<div class="row">
<div class="col-sm-12">
<div class="form-group">
<label><strong>Treatment:</strong></label>
<select name="booking_treatment" class="form-control" required>
<option value="">-- select --</option>
<option>Hydration Strategy - Brilliance (60 min)</option>
<option>Reverse – Ageing Ritual – Lift (1h30) </option>
<option>Instant Glow Green Tea Facial (30 min)</option>
<option>Ensuring better life</option>
</select>
</div>
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label><strong>Arrival Date:</strong></label>
<input type="text" placeholder="Arrival Date" class="form-control date-picker" name="booking_arrival_date" required>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label><strong>Departure Date:</strong></label>
<input type="text" placeholder="Departure Date" class="form-control date-picker" name="booking_departure_date" required>
</div>
</div>
</div>
<div class="form-group">
<label><strong>Time:</strong></label>
<input type="text" placeholder="Time" class="form-control time-picker" name="booking_time" required>
</div>
<div class="form-group">
<label><strong>Guest:</strong></label>
<input type="text" placeholder="Enter Your Guest Name" id="guest_name" name="booking_guest_name" class="form-control" required>
</div>
</div>
<div class="col-sm-12">
<div class="form-group mb-20">
<label><strong>Your Stay:</strong></label>
<div class="radio mt-5">
<label class="radio-inline">
<input type="radio" value="Beach Resort and Spa" name="booking_stay_at" checked="">
Beach Resort and Spa </label>
<label class="radio-inline">
<input type="radio" value="Staying at Other Hotels" name="booking_stay_at">
Staying at Other Hotels </label>
</div>
</div>
</div>
<div class="col-sm-12">
<div class="form-group">
<label><strong>Title:</strong></label>
<select name="booking_title" class="form-control" required>
<option value="">-- select one --</option>
<option value="Mr">Mr.</option>
<option value="Mrs">Mrs.</option>
<option value="Ms">Ms.</option>
<option value="Mr & Mrs">Mr & Mrs.</option>
<option value="Dr">Dr.</option>
</select>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label><strong>Name:</strong></label>
<input type="text" placeholder="Enter Name" name="booking_name" class="form-control" required>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label><strong>Membership Number:</strong></label>
<input type="text" placeholder="Enter Membership Number" name="booking_membership_number" class="form-control" required>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label><strong>Email:</strong></label>
<input type="text" placeholder="Enter Email" name="booking_email" class="form-control" required>
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label><strong>Phone:</strong></label>
<input type="text" placeholder="Enter Phone" name="booking_phone" class="form-control" required>
</div>
</div>
<div class="col-sm-12">
<div class="form-group">
<label><strong>Comments:</strong></label>
<textarea name="booking_comments" class="form-control"></textarea>
</div>
</div>
</div>
<div class="form-group">
<input name="form_botcheck" class="form-control" type="hidden" value="" />
<button type="submit" class="btn btn-dark btn-theme-colored btn-flat mr-5" data-loading-text="Please wait...">Book Now</button>
<button type="reset" class="btn btn-default btn-flat btn-theme-colored">Reset</button>
</div>
</form>
<!-- Booking Form Validation-->
<script type="text/javascript">
$("#booking_form").validate({
submitHandler: function(form) {
var form_btn = $(form).find('button[type="submit"]');
var form_result_div = '#form-result';
$(form_result_div).remove();
form_btn.before('<div id="form-result" class="alert alert-success" role="alert" style="display: none;"></div>');
var form_btn_old_msg = form_btn.html();
form_btn.html(form_btn.prop('disabled', true).data("loading-text"));
$(form).ajaxSubmit({
dataType: 'json',
success: function(data) {
if( data.status == 'true' ) {
$(form).find('.form-control').val('');
}
form_btn.prop('disabled', false).html(form_btn_old_msg);
$(form_result_div).html(data.message).fadeIn('slow');
setTimeout(function(){ $(form_result_div).fadeOut('slow') }, 6000);
}
});
}
});
</script>
<!-- Booking Form Ends -->
</div>
<div class="modal-footer">
</div>
<!-- Footer Scripts -->
<script>
//reload date and time picker
THEMEMASCOT.initialize.TM_datePicker();
</script>
Zerion Mini Shell 1.0