https://thecountryclub.ph/

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IP Address: 192.254.233.218
ASN #: AS46606 UNIFIEDLAYER-AS-1, US
Location: Unknown, Unknown, Unknown
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<option data-countryCode="NF" value="672">Norfolk Islands (+672)</option> <option data-countryCode="NP" value="670">Northern Marianas (+670)</option> <option data-countryCode="NO" value="47">Norway (+47)</option> <option data-countryCode="OM" value="968">Oman (+968)</option> <option data-countryCode="PW" value="680">Palau (+680)</option> <option data-countryCode="PA" value="507">Panama (+507)</option> <option data-countryCode="PG" value="675">Papua New Guinea (+675)</option> <option data-countryCode="PY" value="595">Paraguay (+595)</option> <option data-countryCode="PE" value="51">Peru (+51)</option> <option data-countryCode="PH" value="63">Philippines (+63)</option> <option data-countryCode="PL" value="48">Poland (+48)</option> <option data-countryCode="PT" value="351">Portugal (+351)</option> <option data-countryCode="PR" value="1787">Puerto Rico (+1787)</option> <option data-countryCode="QA" value="974">Qatar (+974)</option> <option data-countryCode="RE" value="262">Reunion 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data-countryCode="SO" value="252">Somalia (+252)</option> <option data-countryCode="ZA" value="27">South Africa (+27)</option> <option data-countryCode="ES" value="34">Spain (+34)</option> <option data-countryCode="LK" value="94">Sri Lanka (+94)</option> <option data-countryCode="SH" value="290">St. Helena (+290)</option> <option data-countryCode="KN" value="1869">St. Kitts (+1869)</option> <option data-countryCode="SC" value="1758">St. Lucia (+1758)</option> <option data-countryCode="SD" value="249">Sudan (+249)</option> <option data-countryCode="SR" value="597">Suriname (+597)</option> <option data-countryCode="SZ" value="268">Swaziland (+268)</option> <option data-countryCode="SE" value="46">Sweden (+46)</option> <option data-countryCode="CH" value="41">Switzerland (+41)</option> <option data-countryCode="SI" value="963">Syria (+963)</option> <option data-countryCode="TW" value="886">Taiwan (+886)</option> <option data-countryCode="TJ" value="7">Tajikstan (+7)</option> <option data-countryCode="TH" value="66">Thailand (+66)</option> <option data-countryCode="TG" value="228">Togo (+228)</option> <option data-countryCode="TO" value="676">Tonga (+676)</option> <option data-countryCode="TT" value="1868">Trinidad &amp; Tobago (+1868)</option> <option data-countryCode="TN" value="216">Tunisia (+216)</option> <option data-countryCode="TR" value="90">Turkey (+90)</option> <option data-countryCode="TM" value="7">Turkmenistan (+7)</option> <option data-countryCode="TM" value="993">Turkmenistan (+993)</option> <option data-countryCode="TC" value="1649">Turks &amp; Caicos Islands (+1649)</option> <option data-countryCode="TV" value="688">Tuvalu (+688)</option> <option data-countryCode="UG" value="256">Uganda (+256)</option> <option data-countryCode="GB" value="44">UK (+44)</option> <option data-countryCode="UA" value="380">Ukraine (+380)</option> <option data-countryCode="AE" value="971">United Arab Emirates (+971)</option> <option data-countryCode="UY" value="598">Uruguay (+598)</option> <option data-countryCode="US" value="1">USA (+1)</option> <option data-countryCode="UZ" value="7">Uzbekistan (+7)</option> <option data-countryCode="VU" value="678">Vanuatu (+678)</option> <option data-countryCode="VA" value="379">Vatican City (+379)</option> <option data-countryCode="VE" value="58">Venezuela (+58)</option> <option data-countryCode="VN" value="84">Vietnam (+84)</option> <option data-countryCode="VG" value="84">Virgin Islands - British (+1284)</option> <option data-countryCode="VI" value="84">Virgin Islands - US (+1340)</option> <option data-countryCode="WF" value="681">Wallis &amp; Futuna (+681)</option> <option data-countryCode="YE" value="969">Yemen (North)(+969)</option> <option data-countryCode="YE" value="967">Yemen (South)(+967)</option> <option data-countryCode="ZM" value="260">Zambia (+260)</option> <option data-countryCode="ZW" value="263">Zimbabwe (+263)</option> </select> <input type="text" name="ea-phone-number-part" maxlength="499" class="ea-phone-number-part custom-field dummy form-control" placeholder="<%= _.escape(item.mixed) %>" <% if (item.required == "1") { %>data-rule-required="true" data-msg-required="<%= _.escape(settings['trans.field-required']) %>"<% } %>><br> <input type="hidden" name="<%= _.escape(item.slug) %>" data-prop="<%= _.escape(item.slug) %>" class="custom-field full-value" > </div> <!-- EMAIL TYPE --> <% } else if(item.type === 'EMAIL') { %> <input id="<%- item.slug %>" class="form-control custom-field" maxlength="499" type="text" name="<%= item.slug %>" placeholder="<%= _.escape(item.mixed) %>" value="<%- item.default_value %>" <% if (item.required == "1") { %>data-rule-required="true" data-msg-required="<%= settings['trans.field-required'] %>"<% } %> data-rule-email="true" data-msg-email="<%= settings['trans.error-email'] %>"> <!-- SELECT TYPE --> <% } else if(item.type === 'SELECT') { %> <select id="<%- item.slug %>" class="form-control custom-field" name="<%= item.slug %>" <% if (item.required == "1") { %>aria-required="true" <% if (item.required == "1") { %>data-rule-required="true"<% } %> data-msg-required="<%= settings['trans.field-required'] %>"<% } %>> <% _.each(item.mixed.split(','),function(i,k,l) { %> <% if (i == "-") { %> <option value="">-</option> <% } else { %> <option value="<%= _.escape(i) %>"><%= _.escape(i) %></option> <% }});%> </select> <!-- TEXTAREA TYPE --> <% } else if(item.type === 'TEXTAREA') { %> <textarea id="<%- item.slug %>" class="form-control custom-field" rows="3" maxlength="499" style="height: auto;" placeholder="<%= _.escape(item.mixed) %>" name="<%= item.slug %>" <% if (item.required == "1") { %>data-rule-required="true" data-msg-required="<%= settings['trans.field-required'] %>"<% } %>></textarea> <% } %> </div> </div> <% });%> <h3 id="booking-overview-header"><%= settings['trans.booking-overview'] %></h3> <div id="booking-overview"></div> <% if (settings['show.iagree'] == '1') { %> <div class="form-group"> <label class="col-sm-4 control-label">&nbsp;</label> <div class="col-sm-8"> <div class="checkbox"> <label> <input id="ea-iagree" name="iagree" type="checkbox" data-rule-required="true" data-msg-required="<%= settings['trans.field-iagree'] %>"> <%- settings['trans.iagree'] %> </label> </div> </div> </div> <% } %> <% if (settings['gdpr.on'] == '1') { %> <div class="form-group"> <label class="col-sm-4 control-label">&nbsp;</label> <div class="col-sm-8"> <div class="checkbox"> <label class="gdpr"> <input id="ea-gdpr" name="gdpr" type="checkbox" data-rule-required="true" data-msg-required="<%= settings['gdpr.message'] %>"> <% if (settings['gdpr.link'] != '') { %> <a href="<%= settings['gdpr.link'] %>" target="_blank"><%- settings['gdpr.label'] %></a> <% } else {%> <%- settings['gdpr.label'] %> <% } %> </label> </div> </div> </div> <% } %> <% if (settings['captcha.site-key'] !== '') { %> <div style="width: 100%; padding: 20px;" class="g-recaptcha" data-sitekey="<%= settings['captcha.site-key'] %>"></div> <% } %> <div class="form-group"> <div class="col-sm-12 ea-actions-group" style="display: inline-flex; align-items: center; justify-content: center;"> <button class="ea-btn ea-submit btn btn-primary booking-button"><%= settings['trans.submit'] %></button> <button class="ea-btn ea-cancel btn btn-default"><%= settings['trans.cancel'] %></button> </div> </div> </div> <% if (settings.layout_cols === '2') { %> </div> <% } %> </form> </div> <div id="ea-loader"></div> </script><script type="text/template" id="ea-appointments-overview"> <small><%= settings['trans.overview-message'] %></small> <table> <tbody> <% if(settings['rtl'] == '1') { %> <% if(data.location.indexOf('_') !== 0) { %> <tr class="row-location"> <td class="ea-label"><%= _.escape( settings['trans.location'] ) %></td> <td class="value"><%= _.escape( data.location ) %></td> </tr> <% } %> <% if(data.service.indexOf('_') !== 0) { %> <tr class="row-service"> <td class="ea-label"><%= _.escape( settings['trans.service'] ) %></td> <td class="value"><%= _.escape( data.service ) %></td> </tr> <% } %> <% if(data.worker.indexOf('_') !== 0) { %> <tr class="row-worker"> <td class="ea-label"><%= _.escape( settings['trans.worker'] ) %></td> <td class="value"><%= _.escape( data.worker ) %></td> </tr> <% } %> <% if (settings['price.hide'] !== '1') { %> <tr class="row-price"> <td class="ea-label"><%= settings['trans.price'] %></td> <td class="value"><%= _.escape( data.price ) %> <%= _.escape( settings['trans.currency'] ) %></td> </tr> <% } %> <tr class="row-datetime"> <td class="ea-label"><%= settings['trans.date-time'] %></td> <td class="value"><%= data.date %> <%= data.time %></td> </tr> <% } else { %> <% if(data.location.indexOf('_') !== 0) { %> <tr class="row-location"> <td class="ea-label"><%= _.escape( settings['trans.location'] ) %></td> <td class="value"><%= _.escape( data.location ) %></td> </tr> <% } %> <% if(data.service.indexOf('_') !== 0) { %> <tr class="row-service"> <td class="ea-label"><%= _.escape( settings['trans.service'] ) %></td> <td class="value"><%= _.escape( data.service ) %></td> </tr> <% } %> <% if(data.worker.indexOf('_') !== 0) { %> <tr class="row-worker"> <td class="ea-label"><%= _.escape( settings['trans.worker'] ) %></td> <td class="value"><%= _.escape( data.worker ) %></td> </tr> <% } %> <% if (settings['price.hide'] !== '1') { %> <tr class="row-price"> <td class="ea-label"><%= _.escape( settings['trans.price'] ) %></td> <% if (settings['currency.before'] == '1') { %> <td class="value"><%= settings['trans.currency'] %><%= _.escape( data.price ) %></td> <% } else { %> <td class="value"><%= _.escape( data.price ) %><%= _.escape( settings['trans.currency'] ) %></td> <% } %> </tr> <% } %> <tr class="row-datetime"> <td class="ea-label"><%= settings['trans.date-time'] %></td> <td class="value"><%= data.date_time %></td> </tr> <% } %> </tbody> </table> <div id="ea-total-amount" style="display: none;" data-total="<%= data.price %>"></div> </script> <div class="ea-bootstrap bootstrap"> <div class="ea-bootstrap " translate="no" style="max-width: 100%;"> <form class="form-horizontal" novalidate="novalidate">  <!-- LOCATION --> <div class="step form-group" style="display: none;"> <div class="block"></div> <label class="ea-label col-sm-4 control-label"> Location </label> <div class="col-sm-8"> <select name="location" data-c="location" class="filter form-control"> <option value="1" selected="selected">The Country Club</option> </select> </div> </div> <!-- WORKER --> <div class="step form-group" style="display: none;"> <div class="block"></div> <label class="ea-label col-sm-4 control-label"> Service </label> <div class="col-sm-8"> <select name="service" data-c="service" class="filter form-control" data-currency="$"> <option data-duration="30" data-slot_step="30" value="1" selected="selected" data-price="0.00">TeeTime</option> </select> </div> </div> <!-- SERVICE --> <div class="step form-group" style="display: none;"> <div class="block"></div> <label class="ea-label col-sm-4 control-label"> Send To </label> <div class="col-sm-8"> <select name="worker" data-c="worker" class="filter form-control"> <option value="1" selected="selected">Golf Desk</option> </select> </div> </div> <div class="step calendar"> <div class="block"></div> <div class="date hasDatepicker" id="dp1670551574595"><div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;"><div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all"><a class="ui-datepicker-prev ui-corner-all ui-state-disabled" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a><div class="ui-datepicker-title"><span class="ui-datepicker-month">December</span>&nbsp;<span class="ui-datepicker-year">2022</span></div></div><table class="ui-datepicker-calendar"><thead><tr><th scope="col"><span title="Monday">Mo</span></th><th scope="col"><span title="Tuesday">Tu</span></th><th scope="col"><span title="Wednesday">We</span></th><th scope="col"><span title="Thursday">Th</span></th><th scope="col"><span title="Friday">Fr</span></th><th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th><th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th></tr></thead><tbody><tr><td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled">&nbsp;</td><td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled">&nbsp;</td><td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled">&nbsp;</td><td class=" ui-datepicker-unselectable ui-state-disabled 2022-12-01"><span class="ui-state-default">1</span></td><td class=" ui-datepicker-unselectable ui-state-disabled 2022-12-02"><span class="ui-state-default">2</span></td><td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2022-12-03"><span class="ui-state-default">3</span></td><td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2022-12-04"><span class="ui-state-default">4</span></td></tr><tr><td class=" ui-datepicker-unselectable ui-state-disabled 2022-12-05"><span class="ui-state-default">5</span></td><td class=" ui-datepicker-unselectable ui-state-disabled 2022-12-06"><span class="ui-state-default">6</span></td><td class=" ui-datepicker-unselectable ui-state-disabled 2022-12-07"><span class="ui-state-default">7</span></td><td class=" ui-datepicker-unselectable ui-state-disabled 2022-12-08"><span class="ui-state-default">8</span></td><td class=" ui-datepicker-days-cell-over 2022-12-09 ui-datepicker-current-day ui-datepicker-today" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default ui-state-highlight ui-state-active ui-state-hover" href="#" aria-current="true" data-date="9">9</a></td><td class=" ui-datepicker-week-end 2022-12-10" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="10">10</a></td><td class=" ui-datepicker-week-end 2022-12-11" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="11">11</a></td></tr><tr><td class=" 2022-12-12" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="12">12</a></td><td class=" 2022-12-13" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="13">13</a></td><td class=" 2022-12-14" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="14">14</a></td><td class=" 2022-12-15" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="15">15</a></td><td class=" 2022-12-16" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="16">16</a></td><td class=" ui-datepicker-week-end 2022-12-17" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="17">17</a></td><td class=" ui-datepicker-week-end 2022-12-18" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="18">18</a></td></tr><tr><td class=" 2022-12-19" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="19">19</a></td><td class=" 2022-12-20" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="20">20</a></td><td class=" 2022-12-21" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="21">21</a></td><td class=" 2022-12-22" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="22">22</a></td><td class=" 2022-12-23" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="23">23</a></td><td class=" ui-datepicker-week-end 2022-12-24" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="24">24</a></td><td class=" ui-datepicker-week-end 2022-12-25" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="25">25</a></td></tr><tr><td class=" 2022-12-26" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="26">26</a></td><td class=" 2022-12-27" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="27">27</a></td><td class=" 2022-12-28" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="28">28</a></td><td class=" 2022-12-29" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="29">29</a></td><td class=" 2022-12-30" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="30">30</a></td><td class=" ui-datepicker-week-end 2022-12-31" data-handler="selectDay" data-event="click" data-month="11" data-year="2022"><a class="ui-state-default" href="#" aria-current="false" data-date="31">31</a></td><td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled">&nbsp;</td></tr></tbody></table></div></div> </div> <div class="step"> <div class="block"></div> <div class="time"></div> </div>  <div class="step final">  <div class="block"></div> <h3>Personal information</h3> <small>Fields with * are required</small>    <div class="form-group"> <label class="col-sm-4 control-label">Member Name *</label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="member-name" class="form-control custom-field" maxlength="499" type="text" name="member-name" placeholder="" value="" data-rule-required="true" data-msg-required="This field is required." aria-required="true"> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Use of Driving Range Only </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <select id="use-of-driving-range-only" class="form-control custom-field" name="use-of-driving-range-only">   <option value="No">No</option>   <option value="Yes">Yes</option>  </select> <!-- TEXTAREA TYPE -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Flightmates </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <textarea id="flightmates" class="form-control custom-field" rows="3" maxlength="499" style="height: auto;" placeholder="Please specify names of all members in the flight (max 4 pax)" name="flightmates"></textarea>  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">No of Golf Carts: </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="no-of-golf-carts" class="form-control custom-field" maxlength="499" type="text" name="no-of-golf-carts" placeholder="" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Email *</label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="email" class="form-control custom-field" maxlength="499" type="text" name="email" placeholder="" value="" data-rule-required="true" data-msg-required="This field is required." data-rule-email="true" data-msg-email="Please enter a valid email address" aria-required="true"> <!-- SELECT TYPE -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Phone *</label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="phone" class="form-control custom-field" maxlength="499" type="text" name="phone" placeholder="" value="" data-rule-required="true" data-msg-required="This field is required." aria-required="true"> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Spam </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="spam" class="form-control custom-field" maxlength="499" type="text" name="spam" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Pepitos  </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="pepitos" class="form-control custom-field" maxlength="499" type="text" name="pepitos" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Corned Beef Pan de Sal </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="corned-beef-pan-de-sal" class="form-control custom-field" maxlength="499" type="text" name="corned-beef-pan-de-sal" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Tuna Salad </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="tuna-salad" class="form-control custom-field" maxlength="499" type="text" name="tuna-salad" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Old Clubhouse Tuna Melt </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="old-clubhouse-tuna-melt" class="form-control custom-field" maxlength="499" type="text" name="old-clubhouse-tuna-melt" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Grilled Ham and Cheese </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="grilled-ham-and-cheese" class="form-control custom-field" maxlength="499" type="text" name="grilled-ham-and-cheese" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Ham, Lettuce, Tomato, Cucumber and Dijonaise </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="ham-lettuce-tomato-cucumber-and-dijonaise" class="form-control custom-field" maxlength="499" type="text" name="ham-lettuce-tomato-cucumber-and-dijonaise" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">The Country Clubber </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="the-country-clubber" class="form-control custom-field" maxlength="499" type="text" name="the-country-clubber" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Cheeseburger </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="cheeseburger" class="form-control custom-field" maxlength="499" type="text" name="cheeseburger" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Chili Cheese Dog </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="chili-cheese-dog" class="form-control custom-field" maxlength="499" type="text" name="chili-cheese-dog" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">BELT  </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="belt" class="form-control custom-field" maxlength="499" type="text" name="belt" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Ham and Egg Pan de Sal with Cheese </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="ham-and-egg-pan-de-sal-with-cheese" class="form-control custom-field" maxlength="499" type="text" name="ham-and-egg-pan-de-sal-with-cheese" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Sinigang (Pork) </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="sinigang-pork" class="form-control custom-field" maxlength="499" type="text" name="sinigang-pork" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Sinigang (Bangus) </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="sinigang-bangus" class="form-control custom-field" maxlength="499" type="text" name="sinigang-bangus" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Sinigang (Tadyang) </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="sinigang-tadyang" class="form-control custom-field" maxlength="499" type="text" name="sinigang-tadyang" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Chicken Mami </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="chicken-mami" class="form-control custom-field" maxlength="499" type="text" name="chicken-mami" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Tossed Salad </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="tossed-salad" class="form-control custom-field" maxlength="499" type="text" name="tossed-salad" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Boneless BBQ Chicken with Atchara, Peanut Sauce and Java Rice </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="boneless-bbq-chicken-with-atchara-peanut-sauce-and-java-rice" class="form-control custom-field" maxlength="499" type="text" name="boneless-bbq-chicken-with-atchara-peanut-sauce-and-java-rice" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Boneless Garlic Fried Chicken with Garlic Gravy and French Fries </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="boneless-garlic-fried-chicken-with-garlic-gravy-and-french-fries" class="form-control custom-field" maxlength="499" type="text" name="boneless-garlic-fried-chicken-with-garlic-gravy-and-french-fries" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Lechon Kawali with Atchara and Rice </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="lechon-kawali-with-atchara-and-rice" class="form-control custom-field" maxlength="499" type="text" name="lechon-kawali-with-atchara-and-rice" placeholder="How many orders?" value=""> <!-- INPUT MASKED 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class="col-sm-8"> <!-- INPUT TYPE -->  <input id="tuna-belly-salpicao-with-garlic-rice" class="form-control custom-field" maxlength="499" type="text" name="tuna-belly-salpicao-with-garlic-rice" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Beef Salpicao with Garlic Rice </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="beef-salpicao-with-garlic-rice" class="form-control custom-field" maxlength="499" type="text" name="beef-salpicao-with-garlic-rice" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Carne Frita with Rice </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="carne-frita-with-rice" class="form-control custom-field" maxlength="499" type="text" name="carne-frita-with-rice" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Wagyu Crispy Tadyang with Rice </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="wagyu-crispy-tadyang-with-rice" class="form-control custom-field" maxlength="499" type="text" name="wagyu-crispy-tadyang-with-rice" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Salisbury Steak with French Fries </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="salisbury-steak-with-french-fries" class="form-control custom-field" maxlength="499" type="text" name="salisbury-steak-with-french-fries" placeholder="How many orders?" value=""> <!-- INPUT MASKED -->  </div> </div>    <div class="form-group"> <label class="col-sm-4 control-label">Pancit Chicken, Vegetable &amp; Kawali </label> <div class="col-sm-8"> <!-- INPUT TYPE -->  <input id="pancit-chicken-vegetable-kawali" class="form-control custom-field" maxlength="499" 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