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payment.html
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<!--
Author: W3layouts
Author URL: http://w3layouts.com
License: Creative Commons Attribution 3.0 Unported
License URL: http://creativecommons.org/licenses/by/3.0/
-->
<!DOCTYPE html>
<html>
<head>
<title>TRAVELICA Bootstarp responsive Website Template| Payment :: w3layouts</title>
<link href="css/bootstrap.css" rel='stylesheet' type='text/css' />
<!-- jQuery (necessary for Bootstrap's JavaScript plugins) -->
<script src="js/jquery.min.js"></script>
<!-- Custom Theme files -->
<link rel="stylesheet" href="css/font-awesome.css">
<link href="css/style.css" rel="stylesheet" type="text/css" media="all" />
<!-- Custom Theme files -->
<meta name="viewport" content="width=device-width, initial-scale=1">
<script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false); function hideURLbar(){ window.scrollTo(0,1); } </script>
<!--webfont-->
<link href='http://fonts.googleapis.com/css?family=Raleway:400,100,200,300,500,600,700,800,900' rel='stylesheet' type='text/css'>
<link href='http://fonts.googleapis.com/css?family=Roboto:400,900italic,900,700italic,700,500italic,500,400italic,300,300italic,100italic,100' rel='stylesheet' type='text/css'>
<script src="js/easyResponsiveTabs.js" type="text/javascript"></script>
<script type="text/javascript">
$(document).ready(function () {
$('#horizontalTab').easyResponsiveTabs({
type: 'default', //Types: default, vertical, accordion
width: 'auto', //auto or any width like 600px
fit: true // 100% fit in a container
});
});
</script>
<script src="js/jquery.easydropdown.js" type="text/javascript"></script>
</head>
<body>
<!-- header-starts -->
<div class="page-header">
<div class="container">
<div class="page-header-info">
<div class="page-header-info-head text-center">
<a href="index.html"><h1>Travelica</h1></a>
</div>
<!-- start h_menu4 -->
<div class="h_menu4">
<a class="toggleMenu" href="">Menu</a>
<ul class="nav p-nav">
<li class="active"><a href="index.html">HOME</a></li>
<li><a href="booking.html">Hotels</a>
<ul>
<li><a href="booking.html">booking</a></li>
<li><a href="rooms.html">rooms</a></li>
<li><a href="reservation.html">reservation</a></li>
<li><a href="booking.html">large city hotels</a></li>
<li><a href="booking.html">small city hotels</a></li>
</ul>
</li>
<li><a href="payment.html">Flights</a>
<ul>
<li><a href="payment.html">payment</a></li>
<li><a href="search.html">search</a></li>
<li><a href="search.html">list</a></li>
</ul>
</li>
<li><a href="destination.html" class="root">Destinations</a>
<ul>
<li><a href="destination.html">philippines</a></li>
<li><a href="destination.html">brazil</a></li>
<li><a href="destination.html">new york</a></li>
</ul>
</li>
<li><a href="contact.html">Contact</a></li>
</ul>
<script type="text/javascript" src="js/nav.js"></script>
</div>
<!-- end h_menu4 -->
</div>
</div>
</div>
<!-- header-ends -->
<!-- content-section-starts -->
<div class="content-section">
<div class="container">
<div class="paymemt-row-wrap">
<div class="col-md-8 ">
<h3>Passengers</h3>
<ul class="list booking-item-passengers">
<li>
<div class="row">
<div class="col-md-3">
<label>Sex</label>
<div class="radio-inline radio-small">
<label>
<input class="i-radio" type="radio" name="passenger-1-sex" />Male</label>
</div>
<div class="radio-inline radio-small">
<label>
<input class="i-radio" type="radio" name="passenger-1-sex" />Female</label>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Name</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Surname</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Date of Birth</label>
<input class="date-pick-years form-control" type="text" />
</div>
</div>
</div>
<div class="row">
<div class="col-md-3 col-md-offset-3">
<div class="form-group">
<label>Citizenship</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Document Series</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Expiry Date</label>
<input class="date-pick-years form-control" type="text" />
</div>
</div>
</div>
</li>
<li>
<div class="row">
<div class="col-md-3">
<label>Sex</label>
<div class="radio-inline radio-small">
<label>
<input class="i-radio" type="radio" name="passenger-2-sex" />Male</label>
</div>
<div class="radio-inline radio-small">
<label>
<input class="i-radio" type="radio" name="passenger-2-sex" />Female</label>
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Name</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Surname</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Date of Birth</label>
<input class="date-pick-years form-control" type="text" />
</div>
</div>
</div>
<div class="row">
<div class="col-md-3 col-md-offset-3">
<div class="form-group">
<label>Citizenship</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Document Series</label>
<input class="form-control" type="text" />
</div>
</div>
<div class="col-md-3">
<div class="form-group">
<label>Expiry Date</label>
<input class="date-pick-years form-control" type="text" />
</div>
</div>
</div>
</li>
</ul>
<div class="gap gap-small"></div>
<div class="row">
<div class="col-md-6">
<img class="pp-img" src="images/paypal.png" alt="Image Alternative text" title="Image Title" />
<p>Important: You will be redirected to PayPal's website to securely complete your payment.</p><a class="btn btn-primary">Checkout via Paypal</a>
</div>
<div class="col-md-6">
<form class="cc-form">
<div class="clearfix">
<div class="form-group form-group-cc-number">
<label>Card Number</label>
<input class="form-control" placeholder="xxxx xxxx xxxx xxxx" type="text" /><span class="cc-card-icon"></span>
</div>
<div class="form-group form-group-cc-cvc">
<label>CVC</label>
<input class="form-control" placeholder="xxxx" type="text" />
</div>
</div>
<div class="clearfix">
<div class="form-group form-group-cc-name">
<label>Cardholder Name</label>
<input class="form-control" type="text" />
</div>
<div class="form-group form-group-cc-date">
<label>Valid Thru</label>
<input class="form-control" placeholder="mm/yy" type="text" />
</div>
</div>
<div class="checkbox checkbox-small">
<label>
<input class="i-check" type="checkbox" checked/>Add to My Cards</label>
</div>
<input class="btn btn-primary" type="submit" value="Proceed Payment" />
</form>
</div>
</div>
</div>
<div class="col-md-4">
<div class="booking-item-payment">
<header class="clearfix">
<h5 class="mb0">London - New York</h5>
</header>
<ul class="booking-item-payment-details">
<li>
<h5>Flight Details</h5>
<div class="booking-item-payment-flight">
<div class="row">
<div class="col-md-9">
<div class="booking-item-flight-details">
<div class="booking-item-departure"><i class="fa fa-plane"></i>
<h5>10:25 PM</h5>
<p class="booking-item-date">Sun, Mar 22</p>
<p class="booking-item-destination">London, England, United Kingdom (LHR)</p>
</div>
<div class="booking-item-arrival"><i class="fa fa-plane fa-flip-vertical"></i>
<h5>12:25 PM</h5>
<p class="booking-item-date">Sat, Mar 23</p>
<p class="booking-item-destination">Charlotte, CA, United States (CLT)</p>
</div>
</div>
</div>
<div class="col-md-3">
<div class="booking-item-flight-duration">
<p>Duration</p>
<h5>10h</h5>
</div>
</div>
</div>
<p>STOP 2 h 55 min Charlotte, United States</p>
<div class="row">
<div class="col-md-9">
<div class="booking-item-flight-details">
<div class="booking-item-departure"><i class="fa fa-plane"></i>
<h5>10:25 PM</h5>
<p class="booking-item-date">Sun, Mar 22</p>
<p class="booking-item-destination">London, England, United Kingdom (LHR)</p>
</div>
<div class="booking-item-arrival"><i class="fa fa-plane fa-flip-vertical"></i>
<h5>12:25 PM</h5>
<p class="booking-item-date">Sat, Mar 23</p>
<p class="booking-item-destination">Charlotte, CA, United States (CLT)</p>
</div>
</div>
</div>
<div class="col-md-3">
<div class="booking-item-flight-duration">
<p>Duration</p>
<h5>10h</h5>
</div>
</div>
</div>
</div>
</li>
<li>
<h5>Flight (2 Passengers)</h5>
<ul class="booking-item-payment-price">
<li>
<p class="booking-item-payment-price-title">2 Passengers</p>
<p class="booking-item-payment-price-amount">$178<small>/per passnger</small>
</p>
</li>
<li>
<p class="booking-item-payment-price-title">Taxes</p>
<p class="booking-item-payment-price-amount">$18<small>/per passnger</small>
</p>
</li>
</ul>
</li>
</ul>
<p class="booking-item-payment-total">Total trip: <span>$392</span>
</p>
</div>
</div>
<div class="clearfix"></div>
</div>
<div class="gap"></div>
</div>
<!-- content-section-ends -->
<!-- footer-section-starts -->
<div class="footer">
<div class="copy-rights text-center">
<p>© 2014 Design by <a href="http://w3layouts.com" target="target_blank">W3layouts</a></p>
</div>
</div>
<!-- footer-section-ends -->
</body>
</html>