var form = ("<h2>Order Transfer</h2>");

var form1;

form += ("<form id='order-form' action='' method='post'>");

form += ("<div>");

form += ("<dl>");



form += ("<dt><label><span>Your Email Address:</span></label></dt>");

form += ("<dd><input type='text' value='' class='text-input' name='email_address' /></dd>");



form += ("<dt><label><span>Your Phone Number:</span></label></dt>");

form += ("<dd><input type='text' value='' class='text-input' name='phone' /></dd>");



form += ("<dt><label><span>Starting City:</span></label></dt>");

form += ("<dd><input type='text' value='' class='text-input' name='start_city' /></dd>");



form += ("<dt><label><span>Ending City:</span></label></dt>");

form += ("<dd><input type='text' value='' class='text-input' name='end_city' /></dd>");





form += ("<dt><label><span>Airport:</span></label></dt>");

form += ("<dd><input type='text' value='' class='text-input' name='airport' /></dd>");















form += ("<dt><label><span>Date of Departure:YY-MM-DD</span></label></dt>");



form += ("<dd><input type='text' value='' class='text-input' name='dep_date' /></dd>");















form += ("<dt><label><span>Time of Departure:</span></label></dt>");



form += ("<dd><input type='text' value='' class='text-input' name='time' /></dd>");















form += ("<dt><label><span>Number of People:</span></label></dt>");



form += ("<dd><input type='text' value='' class='text-input' name='people' /></dd>");


form1=form;


form += ("<dd><img src='captcha/php_captcha.php' /></dd>");

form += ("<dd><input type='text' value='' class='text-input' name='captcha' /></dd>");





























form += ("<dd><input type='image' src='images/order-button1.gif' /></dd>")



form += ("<dd class='last'><a href='#'>More Transfer Options</a></dd>");















form += ("</dl>");







                   







form += ("</div>");















form += ("</form>");








form1 += ("<dd><img src='../captcha/php_captcha.php' /></dd>");

form1 += ("<dd><input type='text' value='' class='text-input' name='captcha' /></dd>");





























form1 += ("<dd><input type='image' src='../images/order-button1.gif' /></dd>")



form1 += ("<dd class='last'><a href='#'>More Transfer Options</a></dd>");















form1 += ("</dl>");







                   







form1 += ("</div>");















form1 += ("</form>");