{"id":2474,"date":"2019-12-10T10:51:00","date_gmt":"2019-12-10T10:51:00","guid":{"rendered":"https:\/\/medtravelpro.com\/?page_id=2474"},"modified":"2020-03-13T07:37:27","modified_gmt":"2020-03-13T07:37:27","slug":"request","status":"publish","type":"page","link":"https:\/\/medtravelpro.com\/en\/request\/","title":{"rendered":"\u0417\u0430\u044f\u0432\u043a\u0430"},"content":{"rendered":"<p>[vc_row][vc_column]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f2477-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2474#wpcf7-f2477-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2477\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2477-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"lang\" value=\"en\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<h3>Fill out the application form <\/h3>\n<p><label><br \/>\n    <span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First name *\" \/><\/span> <\/label><\/p>\n<p><label><br \/>\n    <span class=\"wpcf7-form-control-wrap your-last-name\"><input type=\"text\" name=\"your-last-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"last name *\" \/><\/span> <\/label><\/p>\n<p><label><br \/>\n    <span class=\"wpcf7-form-control-wrap years-old\"><input type=\"text\" name=\"years-old\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Age *\" \/><\/span> <\/label><\/p>\n<p><label><br \/>\n    <span class=\"wpcf7-form-control-wrap phone\"><input type=\"text\" name=\"phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone (Viber WhatsApp) *\" \/><\/span> <\/label><\/p>\n<p><label><br \/>\n    <span class=\"wpcf7-form-control-wrap mail\"><input type=\"email\" name=\"mail\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"e-mail *\" \/><\/span> <\/label><\/p>\n<p><label><br \/>\n    <span class=\"wpcf7-form-control-wrap country\"><input type=\"text\" name=\"country\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Country\/city of residence *\" \/><\/span> <\/label><\/p>\n<p class=\"gender\"><label> Gender *<br \/>\n    <span class=\"wpcf7-form-control-wrap gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gender\" value=\"MALE\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">MALE<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gender\" value=\"FEMALE\" \/><span class=\"wpcf7-list-item-label\">FEMALE<\/span><\/span><\/span><\/span> <\/label><\/p>\n<p class=\"target\"><span class=\"title-target\">Purpose of the trip to Armenia:<\/span><br \/>\n<label class=\"checkbox\"><span class=\"wpcf7-form-control-wrap checkbox-980\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"checkbox-980[]\" value=\"Receiving medical care\" \/><span class=\"wpcf7-list-item-label\">Receiving medical care<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"checkbox-980[]\" value=\"Sanatorium-resort treatment and rehabilitation\" \/><span class=\"wpcf7-list-item-label\">Sanatorium-resort treatment and rehabilitation<\/span><\/span><\/span><\/span><\/label><br \/>\n    <span class=\"wpcf7-form-control-wrap doc1\"><select name=\"doc1\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"medical service\">medical service<\/option><option value=\"Rhinoplasty\">Rhinoplasty<\/option><option value=\"Otoplasty\">Otoplasty<\/option><option value=\"Blepharoplasty\">Blepharoplasty<\/option><option value=\"Bariatric surgeries\">Bariatric surgeries<\/option><option value=\"Gluteoplasty\">Gluteoplasty<\/option><option value=\"liposuction and lipofilling\">liposuction and lipofilling<\/option><option value=\"facelifting\">facelifting<\/option><option value=\"Abdoinoplasty\">Abdoinoplasty<\/option><option value=\"Mammoplasty\">Mammoplasty<\/option><option value=\"Intimate plastic surgeries\">Intimate plastic surgeries<\/option><\/select><\/span><br \/>\n   <label><br \/>\n     <span class=\"wpcf7-form-control-wrap sanatories\"><select name=\"sanatories\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Sanatorium and rehabilitation centre\">Sanatorium and rehabilitation centre<\/option><option value=\"Jermuk Hotel &amp; SPA 5*\">Jermuk Hotel &amp; SPA 5*<\/option><option value=\"Aya Maria Wellness SPA Resort\">Aya Maria Wellness SPA Resort<\/option><option value=\"Grand Resort Jermuk 5*\">Grand Resort Jermuk 5*<\/option><option value=\"Arzni Health Resort\">Arzni Health Resort<\/option><\/select><\/span> <\/label>\n<\/p>\n<div class=\"two_kis\">\n<p class=\"doc\"><label> Name of the selected doctor<br \/>\n    <span class=\"wpcf7-form-control-wrap doc\"><select name=\"doc\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Select from the list\">Select from the list<\/option><option value=\"Gagik Stamboltsyan\">Gagik Stamboltsyan<\/option><option value=\"Gnel Ananyan\">Gnel Ananyan<\/option><option value=\"Ashot Torosyan\">Ashot Torosyan<\/option><option value=\"Aram Boroyan\">Aram Boroyan<\/option><option value=\"Hovhannes Stamboltsyan\">Hovhannes Stamboltsyan<\/option><option value=\"Gor Hovhannisyan\">Gor Hovhannisyan<\/option><option value=\"Telman Arakelyan\">Telman Arakelyan<\/option><option value=\"Davit Davtyan\">Davit Davtyan<\/option><option value=\"Karen Petrosyan\">Karen Petrosyan<\/option><option value=\"Tigran Mkoyan\">Tigran Mkoyan<\/option><option value=\"Ashot Hartutyunyan\">Ashot Hartutyunyan<\/option><option value=\"Gor Ananayan\">Gor Ananayan<\/option><option value=\"Kristina Khachatryan\">Kristina Khachatryan<\/option><option value=\"Lilit Khachatryan\">Lilit Khachatryan<\/option><option value=\"Grigori Maukyan\">Grigori Maukyan<\/option><option value=\"Aram Sedrakyan\">Aram Sedrakyan<\/option><\/select><\/span> <\/label><br \/>\n    <span class=\"wpcf7-form-control-wrap accommodation1\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"accommodation1[]\" value=\"Please help me choose\" \/><span class=\"wpcf7-list-item-label\">Please help me choose<\/span><\/span><\/span><\/span>\n<\/p>\n<p class=\"accommodation\"><span class=\"mel_title\">accommodation:<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap accommodation\"><select name=\"accommodation\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Select from the list\">Select from the list<\/option><option value=\"Hotel 5\">Hotel 5<\/option><option value=\"hotel 4\">hotel 4<\/option><option value=\"Hotel 3\">Hotel 3<\/option><option value=\"Apartment\">Apartment<\/option><option value=\"apartments in the clinic\">apartments in the clinic<\/option><\/select><\/span>\n<\/p>\n<\/div>\n<p class=\"period\"><label> <span class=\"title\">Preferred period of travel to Armenia <\/span><br \/>\n    <span class=\"wpcf7-form-control-wrap calendar\"><input type=\"text\" name=\"calendar\" value=\"\" class=\"wpcf7-form-control wpcf7-datepicker wpcf7-validates-as-required wpcf7-validates-as-date flatpickr-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Arrival date\" \/><\/span> <span class=\"wpcf7-form-control-wrap datepicker-548\"><input type=\"text\" name=\"datepicker-548\" value=\"\" class=\"wpcf7-form-control wpcf7-datepicker wpcf7-validates-as-date flatpickr-date\" aria-invalid=\"false\" placeholder=\"departure date\" \/><\/span> <\/label><\/p>\n<p class=\"end-period\"> <label><\/label> <\/p>\n<p class=\"count\"><label> Number of accompanying persons<br \/>\n   <span class=\"wpcf7-form-control-wrap number-575\"><input type=\"number\" name=\"number-575\" value=\"count\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p class=\"food\"><span class=\"mel_title\">Nutrition<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap food\"><select name=\"food\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"Select from the list\">Select from the list<\/option><option value=\"Individually\">Individually<\/option><option value=\"Delivered to your home\">Delivered to your home<\/option><option value=\"Diet packages for the whole day (5 meals\">Diet packages for the whole day (5 meals<\/option><option value=\"Visiting restaurants and taverns of national cuisine (pre-book a table)\">Visiting restaurants and taverns of national cuisine (pre-book a table)<\/option><\/select><\/span>\n<\/p>\n<p class=\"tours\"><label> Excursions around Armenia<br \/>\n     <span class=\"wpcf7-form-control-wrap tour\"><select name=\"tour\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"Select from the list\">Select from the list<\/option><option value=\"Garni-Geghard\">Garni-Geghard<\/option><option value=\"Khor Virap - Areni - Noravank - Tatev\">Khor Virap - Areni - Noravank - Tatev<\/option><option value=\"Lake Sevan - Dilijan - Haghartsin\">Lake Sevan - Dilijan - Haghartsin<\/option><option value=\"Echmiatsin - Zvartnots\">Echmiatsin - Zvartnots<\/option><\/select><\/span> <\/label><\/p>\n<p class=\"individual_dream\"><label> Individual wishes<br \/>\n     <span class=\"wpcf7-form-control-wrap individual-dream\"><textarea name=\"individual-dream\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span><\/label><\/p>\n<div class=\"sag\">\n<p><a href=\"https:\/\/medtravelpro.com\/%d0%be%d1%84%d0%b5%d1%80%d1%82%d0%b0\/\" target=\"_blank\"> <span class=\"wpcf7-form-control-wrap checkbox-931\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-931[]\" value=\"I agree with the offer\" \/><span class=\"wpcf7-list-item-label\">I agree with the offer<\/span><\/span><\/span><\/span> <\/a><br \/>\n<a href=\"https:\/\/medtravelpro.com\/%d0%bf%d0%be%d0%bb%d0%b8%d1%82%d0%b8%d0%ba%d0%b0-%d0%ba%d0%be%d0%bd%d1%84%d0%b8%d0%b4%d0%b5%d0%bd%d1%86%d0%b8%d0%b0%d0%bb%d1%8c%d0%bd%d0%be%d1%81%d1%82%d0%b8\/\" target=\"_blank\"> <span class=\"wpcf7-form-control-wrap checkbox-932\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-932[]\" value=\"Privacy Policy\" \/><span class=\"wpcf7-list-item-label\">Privacy Policy<\/span><\/span><\/span><\/span> <\/a><\/p>\n<div class=\"soglos\">By clicking on the button, you consent to the processing of your personal data<\/div>\n<p><input type=\"submit\" value=\"send\" class=\"wpcf7-form-control wpcf7-submit\" \/>\n<\/p><\/div>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"_links":{"self":[{"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/pages\/2474"}],"collection":[{"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/comments?post=2474"}],"version-history":[{"count":2,"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/pages\/2474\/revisions"}],"predecessor-version":[{"id":2478,"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/pages\/2474\/revisions\/2478"}],"wp:attachment":[{"href":"https:\/\/medtravelpro.com\/en\/wp-json\/wp\/v2\/media?parent=2474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}