<h2>Appointment</h2><form name="reservation-schedule-form" method="post" action="https://mg7717.dev34.info/appointment/">
							<p><input type="text" id="cli-name" name="cli-name" placeholder="Name"></p>
							<p><input type="text" id="cli-email" name="cli-email"  placeholder="Email"></p>
							<p><select name="services" id="services">
							  <option value="">Type of Service</option><option value='628'>Indian Astrology - &#36;55.0</option><option value='627'>Western Astrology - &#36;30.0</option><option value='626'>Tropical Astrology - &#36;30.0</option><option value='625'>Arab and Persian Astrology - &#36;50.0</option><option value='624'>Horary astrology - &#36;55.0</option><option value='623'>Medical Astrology - &#36;60.0</option><option value='621'>Fixed Stars astrology - &#36;55.0</option><option value='609'>Zodiac astrology - &#36;50.0</option><option value='521'>Personal consultation - &#36;30.0</option><option value='457'>Love Astrology - &#36;60.0</option></select></p>
							<p><input type="text" id="datepicker" name="date" placeholder="Preferred Date" readonly="readonly" /></p>
							<p><select name="staff" id="staff">
								<option value="">Name of Person</option><option value="620">Jian Hung Huo - &#36;30.0</option><option value="619">Hai Han He - &#36;30.0</option><option value="618">Feng Gua Hai - &#36;30.0</option><option value="615">Fa Dong Cong - &#36;30.0</option><option value="613">An Chao Chen - &#36;30.0</option><option value="607">Bao Chen Cheng - &#36;30.0</option><option value="606">Melissa Mc Chan - &#36;30.0</option><option value="605">Melwyn Mccarthy - &#36;30.0</option><option value="600">Su Hon Kim - &#36;30.0</option><option value="458">Susan Delacour - &#36;30.0</option></select></p>
								<button value="Show Time" type="submit">Fix an appointment</button>
						<input type="hidden" id="staffids" name="staffids" value="" /><input type="hidden" id="serviceids" name="serviceids" value="" /></form>