<form action="gracias.php" method="post" id="form_atuel" onSubmit="MM_validateForm('nombre','','R','email','','RisEmail','telefono','','R','reservation-form__pick-up-date-input','','R','reservation-form__drop-off-date-input','','R','mensaje','','R');return document.MM_returnValue">
<div class="reservation-form__more">
<div class="reservation-form__line reservation-form__set reservation-form__pick-up">
<div class="reservation-form__pick-up-location reservation-form__location">
<div class="reservation-form__field-inner">
<input type="text" name="nombre" value="<?php echo $nombre; ?>" size="40" class="reservation-form__date-wrapper" aria-required="true" aria-invalid="false" placeholder="Nombre" id="nombre" required/> </div>
</div>
<div class="reservation-form__pick-up-location reservation-form__location">
<div class="reservation-form__field-inner">
<input type="text" name="email" value="<?php echo $email; ?>" size="40" class="reservation-form__date-wrapper" aria-required="true" aria-invalid="false" placeholder="Correo" id="email" required/>
</div>
</div>
</br></br>
<div class="reservation-form__line reservation-form__car">
<div class="reservation-form__field-inner">
<select class="reservation-form__car-select" id="reservation-form__car-select" name="autos">
<option></option>
<option selected><?php echo $vehiculo; ?></option>
<option>Chevrolet Classic 4ptas. CD-A/A-D/H-AirBags-ABS</option>
<option>Chevrolet Agile 5ptas. CD-A/A-D/H-AirBags-ABS</option>
<option>Chevrolet Spin full. 7 personas-AirBags-ABS </option>
<option>Toyota Hilux 4x4. Doble Cabina. Full.</option>
</select>
<div class="reservation-form__car-select-label" id="reservation-form__car-select-label">Eliga un auto</div>
</div>
</div></br></br>
<div class="reservation-form__pick-up-location reservation-form__location">
<div class="reservation-form__field-inner">
<input type="text" name="telefono" value="" size="40" class="reservation-form__date-wrapper" aria-required="true" aria-invalid="false" placeholder="Teléfono" id="telefono" required/>
</div>
</div>
<div class="reservation-form__pick-up-time reservation-form__time">
<div class="reservation-form__field-inner"></div>
</div>
</div>
</br>
<div class="reservation-form__pick-up-location reservation-form__location">
<div class="reservation-form__field-inner">
<select name="lugarentrega" class="reservation-form__pick-up-location-select" data-placeholder="Lugar de entrega" id="lugarentrega" required/>
<option>Lugar de entrega:</option> <option>San Rafael - Aeropuerto</option>
<option>San Rafael - Centro</option>
<option>San Rafael - Terminal de Bus</option>
<option>San Rafael - Valle Grande</option>
<option>Mendoza - Aeropuerto</option>
<option>Mendoza - Centro</option>
<option>Mendoza - Terminal de Bus</option>
<option>Malargüe - Valle de Las Leñas</option>
<option>Malargüe - Centro</option>
<option>General Alvear - Centro</option>
<option>Tunuyán - Centro</option>
<option>Otro (Indicar en Consulta)</option>
</select>
</div>
</div>
<div class="reservation-for
m__pick-up-date reservation-form__date">
<div class="reservation-form__field-inner">
</div></br>
</div>
<div class="reservation-form__pick-up-time reservation-form__time">
</br></div>
</div>
<div class="reservation-form__line reservation-form__set reservation-form__drop-off">
<div class="reservation-form__drop-off-location reservation-form__location">
<div class="reservation-form__field-inner">
<select name="lugardevolucion" class="reservation-form__drop-off-location-select"data-placeholder="Lugar de devolución" id="lugardevolucion" required/>
<option>Lugar de devolución:</option> <option>San Rafael - Aeropuerto</option>
<option>San Rafael - Centro</option>
<option>San Rafael - Terminal de Bus</option>
<option>San Rafael - Valle Grande</option>
<option>Mendoza - Aeropuerto</option>
<option>Mendoza - Centro</option>
<option>Mendoza - Terminal de Bus</option>
<option>Malargüe - Valle de Las Leñas</option>
<option>Malargüe - Centro</option>
<option>General Alvear - Centro</option>
<option>Tunuyán - Centro</option>
<option>Otro (Indicar en Consulta)</option>
</select>
</div>
</div>
<div class="reservation-form__drop-off-date reservation-form__date">
<div class="reservation-form__field-inner">
</div>
</div>
<div class="reservation-form__drop-off-time reservation-form__time">
</div>
</div>
<div class="reservation-form__line reservation-form__car">
<div class="reservation-form__field-inner">
<select class="reservation-form__car-select" data-placeholder="Adicional" id="adicional" name="adicional" required/>
<option></option>
<option selected>Adicional:</option>
<option style="padding:3px;">Cadenas para Nieve</option>
<option style="padding:3px;">Porta equipaje</option>
<option style="padding:3px;">Silla para bebe</option>
<option style="padding:3px;">GPS</option>
</select>
<!--<div class="reservation-form__car-select-label" id="reservation-form__car-select-label">Adicional</div>-->
</div>
</div>
</br>
<div class="reservation-form__pick-up-location reservation-form__location">
<div class="reservation-form__field-inner">
<input type="text" name="mensaje" value="" size="40" class="reservation-form__date-wrapper" aria-required="true" aria-invalid="false" placeholder="Su consulta" id="mensaje" required/> </div>
</div>
<div class="reservation-form__line reservation-form__set reservation-form__pick-up">
<div class="reservation-form__line reservation-form__required-notice">
<div class="reservation-form__field-inner">
<div class="reservation-form__required-notice-box">Por favor, complete todos los campos.</div>
</div>
</div>
<div class="reservation-form__line reservation-form__submit">
<div class="reservation-form__field-inner">
<input type="submit" class="reservation-form__submit-button" id="reservation-form__submit-button" value="Consultar" />
<circle class="path" cx="24" cy="24" r="20" fill="none" stroke="#fff" stroke-width="4">
<animate attributeName="stroke-dasharray" attributeType="XML" from="1,200" to="89,200" values="1,200; 89,200; 89,200" keyTimes="0; 0.5; 1" dur="1.5s" repeatCount="indefinite" />
<animate attributeName="stroke-dashoffset" attributeType="XML" from="0" to="-124" values="0; -35; -124" keyTimes="0; 0.5; 1" dur="1.5s" repeatCount="indefinite" />
<animateTransform attributeName="transform" attributeType="XML" type="rotate" from="0 24 24" to="360 24 24" dur="3s" repeatCount="indefinite"/>
</circle>
</svg>
</div>
</div>
</form>