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| button type="button" title="<?php echo $this->__('Application Form') ?>" class="button" onclick="new
Effect.toggle('text');"><span><span><?php echo $this->__('Application Form') ?></span></span></button>
<div id="text" style="display:none">
<div class="page-title">
<h1><?php echo Mage::helper('contacts')->__('Contact Us for ') ?>
<class="product-name"><title="<?php echo $this->htmlEscape($_product->getName()) ?>"><?php echo $this-
>htmlEscape($_product->getName())?></h1>
</div>
<form action="<?php echo Mage::getUrl();?>/contacts/index/post/" id="contactForm" method="post">
<div class="fieldset">
<div class="field name-company">
<p><label for="company"><?php echo Mage::helper('contacts')->__('Company') ?></label> </p>
<input size="57" name="company" id="company" title="<?php echo Mage::helper('contacts')->__('Company') ?
>"value="" class="input-text" type="text" />
</div>
<div class="field name-customer-id">
<p><label for="customer-id"><?php echo Mage::helper('contacts')->__('CustomerID') ?></label> </p>
<input size="57" name="customer-id" id="customer-id" title="<?php echo Mage::helper('contacts')->__
('CustomerID') ?>"value="" class="input-text" type="text" />
</div>
<p></p>
<div class="field name-title">
<div class="input-box">
<label for="title"><?php echo Mage::helper('contacts')->__('Title:') ?><span></span></label>
<?php $userTitle = $this->htmlEscape($this->helper('contacts')->getUserTitle());
$formTitel = Mage::helper('contacts')->__('Title');
?>
<input name="title" id="title" title="<?php echo $formTitel ?>" value="<?php echo $userTitle ?>" <?php echo
($userTitle == 'Mr')? "checked" : ""; ?> type="radio"> Mr
<input name="title" id="title" title="<?php echo $formTitel ?>" value="<?php echo $userTitle ?>" <?php echo
($userTitle == 'Mrs')? "checked" : ""; ?> type="radio"> Mrs<br>
</div>
</div>
<p></p>
<div class="field name-firstname">
<p><label for="firstname" class="required"><em>*</em><?php echo Mage::helper('contacts')->__('First Name')
?></label></p>
<input size="57" name="firstname" id="firstname" title="<?php echo Mage::helper('contacts')->__('First
Name') ?>" value="<?php echo $this->htmlEscape($this->helper('contacts')->getUserFirstName()) ?>"
class="input-text required-entry" type="text" />
</div>
<div class="field name-lastname">
<p> <label for="name" class="required"><em>*</em><?php echo Mage::helper('contacts')->__('Last Name') ?
></label></p>
<input size="57" name="name" id="name" title="<?php echo Mage::helper('contacts')->__('Last Name') ?>"
value="<?php echo $this->htmlEscape($this->helper('contacts')->getUserLastName()) ?>" class="input-text
required-entry" type="text" />
</div>
<div class="field name-email">
<p> <label for="email" class="required"><em>*</em><?php echo Mage::helper('contacts')->__('Email') ?
></label> </p>
<input size="57" name="email" id="email" title="<?php echo Mage::helper('contacts')->__('Email') ?>"
value="<?php echo $this->htmlEscape($this->helper('contacts')->getUserEmail()) ?>" class="input-text
required-entry validate-email" type="text" />
</div>
<input name="hideit" id="hideit" value="" style="display:none !important;" type="text"/>
<div class="buttons-set">
<p class="back-link"><a href="<?php echo $this->getBackUrl() ?>" class="back-link"><small>«
</small><?php echo $this->__('Back') ?></a></p>
<button type="submit" title="<?php echo Mage::helper('contacts')->__('Send') ?>"
class="button"><span><span><?php echo Mage::helper('contacts')->__('Send') ?></span></span></button>
<!-- <button type="button" title="<?php echo Mage::helper('contacts')->__('Back') ?>" class="button"
onclick="new Effect.BlindUp('text')"><span><span><?php echo Mage::helper('contacts')->__('Back') ?
></span></span></button> -->
<p class="required"><?php echo $this->__('* Required Fields') ?></p>
</div>
</form>
</div> |
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