[calendar]
    <div style="text-align:left;line-height:28px;">
    <p>Übernachtungspreis: [original_cost_hint]</p>
    <p>Endreinigung: [additional_cost_hint]</p>
    <p>Gesamtpreis: [cost_hint]</p>
    </div>
<div style="float:left;margin:10px 5px;">Vorname*<br />[text* name]</div>
<div style="float:left;margin:10px 5px;">Nachname*<br />[text* secondname]</div>
<div style="float:left;margin:10px 5px;">Adresse*<br />  [text* address]</div>
<div style="float:left;margin:10px 5px;">PLZ*<br />  [text* postcode]</div>
<div style="float:left;margin:10px 5px;">Ort*<br />  [text* city]</div>
<div style="float:left;margin:10px 5px;">Email*<br />[email* email]</div>
<div style="float:left;margin:10px 5px;">Telefon<br />[text phone]</div>
<div style="float:left;margin:10px 5px;">Personenanzahl: <br /> [select visitors class:visitors_selection "1" "2" "3" "4"]</div>
<br />


     <div class="visitors_selection_div v_num2 v_num3 v_num4" style="display:none;float:left;margin:10px 0px;">
       <div style="float:right;margin:10px 5px;">Name Mitreisender 2*<br />[text name2]</div>
       <div style="float:right;margin:10px 5px;">Geburtsdatum<br />[text Geburtsdatum2]</div>
    </div>


    <div class="visitors_selection_div v_num3 v_num4" style="display:none;">
       <div style="float:right;margin:10px 5px;">Geburtsdatum<br />  [text Geburtsdatum3]</div>
       <div style="float:right;margin:10px 5px;">Name Mitreisender 3*<br />  [text name3]</div>
    </div>

    <div class="visitors_selection_div v_num4" style="display:none;">
       <div style="float:right;margin:10px 5px;">Geburtsdatum<br />  [text Geburtsdatum4]</div>
       <div style="float:right;margin:10px 5px;">Name Mitreisender 4*<br />  [text name4]</div>
    </div>

    <script type="text/javascript">
       jQuery('.visitors_selection').on('change', function() {
           var visitors_num = jQuery(this).find(":selected").val();
           jQuery('.visitors_selection_div').hide();
           jQuery('.visitors_selection_div.v_num' + visitors_num ).show();
       });
    </script>
<div style="float:left;margin:10px 5px;">
[checkbox Endreinigung default:on "Endreinigung +35€"]<br/>
<p class="terms_and_condition">[checkbox* term_and_condition use_label_element "Ich akzeptiere die "] <a href="http://www.fewo-dangasteroase.de/agb" target="_blank" rel="nofollow">Allgemeinen Geschäftsbedingungen</a></p>
<br/> <br/> [submit class:btn "Senden"]</div>