{"ajax_status":"success","ajax_html":"\t\t<form name=\"pyr_form\" id=\"pyr_form\" class=\"form-horizontal\" role=\"form\" action=/ method=\"post\">\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Food Type<\/label>\n                <div class=\"col-sm-7\">\n                \t<div   class=\"form-control\"   style=\"height: 150px;overflow-y: scroll; \">\n                \t\t \n                \t\t                \t\t\t <label for=\"pyr_food_type_73\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_73\" value=\"73\" > Bakery                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_77\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_77\" value=\"77\" > Bengali                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_63\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_63\" value=\"63\" > Beverages                 \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_74\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_74\" value=\"74\" > Biryani\/Rice                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_8\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_8\" value=\"8\" > Breakfast                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_75\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_75\" value=\"75\" > Brownies                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_9\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_9\" value=\"9\" > Burgers                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_10\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_10\" value=\"10\" > Burmese                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_11\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_11\" value=\"11\" > Cakes                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_12\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_12\" value=\"12\" > Catering                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_76\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_76\" value=\"76\" > Chaat                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_13\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_13\" value=\"13\" > Chinese                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_14\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_14\" value=\"14\" > Chocolates                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_15\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_15\" value=\"15\" > Continental                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_58\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_58\" value=\"58\" > Cookies                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_16\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_16\" value=\"16\" > Desserts                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_17\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_17\" value=\"17\" > European                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_18\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_18\" value=\"18\" > French                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_64\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_64\" value=\"64\" > Frozen snacks                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_65\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_65\" value=\"65\" > Fruits                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_66\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_66\" value=\"66\" > Gluten Free                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_19\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_19\" value=\"19\" > Grocery                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_20\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_20\" value=\"20\" > Gujarati                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_21\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_21\" value=\"21\" > Healthfood                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_22\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_22\" value=\"22\" > Hyderabadi                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_23\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_23\" value=\"23\" > Ice creams                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_24\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_24\" value=\"24\" > Indian                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_61\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_61\" value=\"61\" > Indian Mithai                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_25\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_25\" value=\"25\" > Italian                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_62\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_62\" value=\"62\" > Jams\/Dips                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_27\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_27\" value=\"27\" > Japanese                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_28\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_28\" value=\"28\" > Kashmiri                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_26\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_26\" value=\"26\" > Kebabs                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_30\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_30\" value=\"30\" > Lebanese                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_31\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_31\" value=\"31\" > Maharashtrian                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_32\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_32\" value=\"32\" > Masalas                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_33\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_33\" value=\"33\" > Mediterranean                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_34\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_34\" value=\"34\" > Mexican                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_56\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_56\" value=\"56\" > Mousses                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_57\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_57\" value=\"57\" > Muffins                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_35\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_35\" value=\"35\" > Mughlai                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_36\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_36\" value=\"36\" > Naga                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_68\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_68\" value=\"68\" > Namkeen                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_37\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_37\" value=\"37\" > Non vegetarian                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_69\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_69\" value=\"69\" > Organic food                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_54\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_54\" value=\"54\" > Others                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_70\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_70\" value=\"70\" > Packed food                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_39\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_39\" value=\"39\" > Papads                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_40\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_40\" value=\"40\" > Parsi                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_41\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_41\" value=\"41\" > Pickles                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_42\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_42\" value=\"42\" > Pizza                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_43\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_43\" value=\"43\" > Punjabi                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_44\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_44\" value=\"44\" > Rajasthani                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_78\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_78\" value=\"78\" > Roti                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_59\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_59\" value=\"59\" > Salads                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_45\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_45\" value=\"45\" > Sandwiches                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_71\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_71\" value=\"71\" > Sauces                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_46\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_46\" value=\"46\" > Seafood                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_47\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_47\" value=\"47\" > Snacks                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_60\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_60\" value=\"60\" > Soups                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_48\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_48\" value=\"48\" > South Indian                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_72\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_72\" value=\"72\" > Spices                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_38\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_38\" value=\"38\" > Sugar Free                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_49\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_49\" value=\"49\" > Tandoori                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_50\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_50\" value=\"50\" > Thai                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_51\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_51\" value=\"51\" > Tibetan                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_52\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_52\" value=\"52\" > Tiffin services                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_53\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_53\" value=\"53\" > Vegetarian                \t\t\t <\/label><br>\n                \t\t\t                \t\t\t <label for=\"pyr_food_type_55\" class=\"control-label\">\n                \t\t\t \t<input class=\"pyr_food_type_cls \" type=\"checkbox\" name=\"pyr_food_type[]\" id=\"pyr_food_type_55\" value=\"55\" > Vrat ka Khana                \t\t\t <\/label><br>\n                \t\t\t                \t<\/div>\n                    <span id=\"pyr_food_type_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Requirment Detail<\/label>\n                <div class=\"col-sm-7\">\n                    <textarea name=\"pyr_requirment_detail\" id=\"pyr_requirment_detail\"  rows=\"3\" class=\"form-control\"><\/textarea>  \n                    <span id=\"pyr_requirment_detail_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">When Do You Want<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"text\" name=\"pyr_requirment_datetime\" id=\"pyr_requirment_datetime\" class=\"form-control\"   placeholder=\"When Do You Want\"\/>\n                    <span id=\"pyr_requirment_datetime_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Time<\/label>\n                <div class=\"col-sm-7 \">\n                \t<div class=\"  \">\n                \t<select name=\"pyr_hh\" id=\"pyr_hh\" class=\" col-sm-4\" style=\"padding: 10px 10px 10px 10px ;margin:  10px 0px 10px 0px;\">\n                    \t<option value=\"\">HH<\/option>                    \t \n                    \t<option value=\"01\">01<\/option>\n                    \t<option value=\"02\">02<\/option>\n                    \t<option value=\"03\">03<\/option>\n                    \t<option value=\"04\">04<\/option>\n                    \t<option value=\"05\">05<\/option>\n                    \t<option value=\"06\">06<\/option>\n                    \t<option value=\"07\">07<\/option>\n                    \t<option value=\"08\">08<\/option>\n                    \t<option value=\"09\">09<\/option>\n                    \t<option value=\"10\">10<\/option>\n                    \t<option value=\"11\">11<\/option>\n                    \t<option value=\"10\">12<\/option>                    \t \n                    <\/select>\n                    <select name=\"pyr_mm\" id=\"pyr_mm\" class=\"  col-sm-4\" style=\"padding: 10px 10px 10px 10px ;margin:  10px 0px 10px 0px;\">\n                    \t<option value=\"\">MM<\/option>                    \t \n                    \t<option value=\"01\">01<\/option>\n                    \t<option value=\"02\">02<\/option>\n                    \t<option value=\"03\">03<\/option>\n                    \t<option value=\"04\">04<\/option>\n                    \t<option value=\"05\">05<\/option>\n                    \t<option value=\"06\">06<\/option>\n                    \t<option value=\"07\">07<\/option>\n                    \t<option value=\"08\">08<\/option>\n                    \t<option value=\"09\">09<\/option>\n                    \t<option value=\"10\">10<\/option>\n                    \t<option value=\"11\">11<\/option>\n                    \t<option value=\"12\">12<\/option>\n                    \t<option value=\"13\">13<\/option>\n                    \t<option value=\"14\">14<\/option>\n                    \t<option value=\"15\">15<\/option>\n                    \t<option value=\"16\">16<\/option>\n                    \t<option value=\"17\">17<\/option>\n                    \t<option value=\"18\">18<\/option>\n                    \t<option value=\"19\">19<\/option>\n                    \t<option value=\"20\">20<\/option>\n                    \t<option value=\"21\">21<\/option>\n                    \t<option value=\"22\">22<\/option>\n                    \t<option value=\"23\">23<\/option>\n                    \t<option value=\"24\">24<\/option>\n                    \t<option value=\"25\">25<\/option>\n                    \t<option value=\"26\">26<\/option>\n                    \t<option value=\"27\">27<\/option>\n                    \t<option value=\"28\">28<\/option>\n                    \t<option value=\"29\">29<\/option>\n                    \t<option value=\"30\">30<\/option>\n                    \t<option value=\"31\">31<\/option>\n                    \t<option value=\"32\">32<\/option>\n                    \t<option value=\"33\">33<\/option>\n                    \t<option value=\"34\">34<\/option>\n                    \t<option value=\"35\">35<\/option>\n                    \t<option value=\"36\">36<\/option>\n                    \t<option value=\"37\">37<\/option>\n                    \t<option value=\"38\">38<\/option>\n                    \t<option value=\"39\">39<\/option>\n                    \t<option value=\"40\">40<\/option>\n                    \t<option value=\"41\">41<\/option>\n                    \t<option value=\"42\">42<\/option>\n                    \t<option value=\"43\">43<\/option>\n                    \t<option value=\"44\">44<\/option>\n                    \t<option value=\"45\">45<\/option>\n                    \t<option value=\"46\">46<\/option>\n                    \t<option value=\"47\">47<\/option>\n                    \t<option value=\"48\">48<\/option>\n                    \t<option value=\"49\">49<\/option>\n                    \t<option value=\"50\">50<\/option>\n                    \t<option value=\"51\">51<\/option>\n                    \t<option value=\"52\">52<\/option>\n                    \t<option value=\"53\">53<\/option>\n                    \t<option value=\"54\">54<\/option>\n                    \t<option value=\"55\">55<\/option>\n                    \t<option value=\"56\">56<\/option>\n                    \t<option value=\"57\">57<\/option>\n                    \t<option value=\"58\">58<\/option>\n                    \t<option value=\"59\">59<\/option>\n                    <\/select>\n                    <select name=\"pyr_am_pm\" id=\"pyr_am_pm\" class=\"  col-sm-4\" style=\"padding: 10px  10px 10px 10px;margin:  10px 0px 10px 0px;\">\n                    \t<option value=\"AM\">AM<\/option><option value=\"PM\">PM<\/option>                  \t \n                    <\/select><\/div>\n                    <span id=\"pyr_hh_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            \n\n            <div class=\"form-group\">\n            \t<label  class=\"col-sm-4 control-label\" for=\"\">&nbsp;<\/label>\n            \t<div class=\"col-sm-3\">\n\t            \t<label  class=\" control-label  \" for=\"pyr_delivery_pickup_d\"> <input type=\"radio\" name=\"pyr_delivery_pickup\" id=\"pyr_delivery_pickup_d\" class=\"form-control1\" value=\"D\" checked \/> Delivery<\/label>\n            \t<\/div>  \n            \t<div class=\"col-sm-3\">\n\t                <label  class=\"  control-label \" for=\"pyr_delivery_pickup_p\"><input type=\"radio\" name=\"pyr_delivery_pickup\" id=\"pyr_delivery_pickup_p\" class=\"form-control1\" value=\"P\" \/> Pick Up <\/label>\n\t            <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Delivery City<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"text\" name=\"pyr_delivery_city\" id=\"pyr_delivery_city\" class=\"form-control\"   placeholder=\"Delivery City\"\/>\n                    <span id=\"pyr_delivery_city_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Delivery Addresss<\/label>\n                <div class=\"col-sm-7\">\n                    <textarea name=\"pyr_other_requirment\" id=\"pyr_other_requirment\"  rows=\"3\" class=\"form-control\"><\/textarea>  \n                    <span id=\"pyr_other_requirment_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">How Do You Come To Know About Make My Foodie<\/label>\n                <div class=\"col-sm-7\">\n                    <select name=\"pyr_came_to_know\" id=\"pyr_came_to_know\" class=\"form-control\" >\n                    \t<option value=\"\">Select<\/option>                    \t \n                    \t<option value=\"through_friend\">Through Friend<\/option>\n                    \t<option value=\"social_media\">Social Media<\/option>\n                    \t<option value=\"other\">Other<\/option>\n                    <\/select>\n                    <span id=\"pyr_came_to_know_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Any Food Allergy<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"text\" name=\"pyr_any_food_allergy\" id=\"pyr_any_food_allergy\" class=\"form-control\"   placeholder=\"Any Food Allergy\"\/>\n                    <span id=\"pyr_any_food_allergy_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Name<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"text\" name=\"pyr_name\" id=\"pyr_name\" class=\"form-control\"   placeholder=\"Name\"\/>\n                    <span id=\"pyr_name_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Mobile<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"tel\" name=\"pyr_mobile_no\" id=\"pyr_mobile_no\" class=\"form-control\"   placeholder=\"Mobile\" maxlength=\"10\" \/>\n                    <span id=\"pyr_mobile_no_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">E-Mail<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"email\" name=\"pyr_email\" id=\"pyr_email\" class=\"form-control\"   placeholder=\"E-Mail\"\/>\n                    <span id=\"pyr_email_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Address<\/label>\n                <div class=\"col-sm-7\">\n                    <textarea name=\"pyr_address\" id=\"pyr_address\"  rows=\"3\" class=\"form-control\"><\/textarea>  \n                    <span id=\"pyr_address_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">City<\/label>\n                <div class=\"col-sm-7\">\n                \t<input type=\"text\" name=\"pyr_city\" id=\"pyr_city\" class=\"form-control\"   placeholder=\"City\"\/>\n                    <span id=\"pyr_city_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n                <label  class=\"col-sm-4 control-label\" for=\"\">Security Code<\/label>\n                <div class=\"col-sm-3\">\n                \t\n                <\/div>\n                <div class=\"col-sm-4\">\n\t\t\t\t\t<input id=\"security_code_pyr\" name=\"security_code_pyr\" type=\"text\" class=\"form-control\"   \/>\n                    <span id=\"security_code_pyr_error\" class=\"text-danger\"><\/span>\n                <\/div>\n            <\/div>\n\n            <div class=\"form-group\">\n            \t<label  class=\"col-sm-4 control-label\"  >&nbsp;<\/label>\n                <div class=\"  col-sm-4 reg\">\n                \t<button id=\"pyr_form_btn\" type=\"button\" class=\"btn btn-primary\">Send<\/button>\n                \t \n                <\/div>\n            <\/div>\n        <\/form>\n\t\t"}