{include file ='leadsheader.tpl'}
<script language="javascript">showProductdivA();</script>
<form name="frmLeadsAddEdit" id="frmLeadsAddEdit" Method="POST" Action=" " ENCTYPE="multipart/form-data">
<input type="hidden" name="seletID" id="seletID" value="{$seletID}">
<!--<input type="hidden" name="OrderID" value="{$OrderID}">
<input type="hidden" name="LeadCustomerID" value="{$LeadCustomerID}">
<input type="hidden" name="LeadID" value="{$LeadID}">-->
<span class="message">{$msg}</span>
<input type="hidden" name="PageNo" value="{$PageNo}">
<input type="hidden" name="RawLeadID" value="{$RawLeadID}">
<input type="hidden" name="AssignedLeadID" value="{$AssignedLeadID}">
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td> </td>
</tr>
<tr>
<td>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td colspan="3">
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<TR>
<TD class="table_top_left"> </TD>
<TD class="table_top_center">
<table cellspacing="0" border="0" cellpadding="0" width="100">
<TR>
<td class="heading_left" width="3"><img src="http://{$site}/images/spacer.gif" width="9" height="1"></td>
<td class="heading_center" nowrap>
{if $RawLeadID eq ""}
Add Lead
{else}
Update Lead
{/if}
</td>
<td class="heading_right" width="9"><img src="http://{$site}/images/spacer.gif" width="9" height="1"></td>
</tr>
</table>
</TD>
<TD class="table_top_right"> </td>
</TR>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
<td align="center" valign="top">
<table width="100%" border="0" align="center" cellpadding="3" cellspacing="0">
<tr style="height:20">
<td colspan="5"></td>
</tr>
<tr>
<td class="alternatetablerow" width="8%"> </td>
<td class="alternatetablerow"><span class="controllabel">First Name</span> <sup><span class="mandatory">*</span></sup></td>
<td class="alternatetablerow">
<input type="text" name="txtFirstName" value="{$txtFirstName|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtFirstName"></td>
<td class="alternatetablerow"><span class="controllabel">Middle Name</span></td>
<td class="alternatetablerow">
<input type="text" name="txtMiddleName" value="{$txtMiddleName|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtMiddleName"></td>
</tr>
<tr>
<td width="9%"> </td>
<td><span class="controllabel">Last Name</span> <sup><span class="mandatory">*</span></sup></td>
<td><input type="text" name="txtLastName" value="{$txtLastName|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtLastName"></td>
<td><span class="controllabel">Type of Contact</span></td>
<td><input type="text" name="txtTypeofContact" value="{$txtTypeofContact|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtTypeofContact"></td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">Business Name</span></td>
<td class="alternatetablerow">
<input type="text" name="txtBusinessName" value="{$txtBusinessName|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtBusinessName"></td>
<td class="alternatetablerow"><span class="controllabel">Second Business Name</span></td>
<td class="alternatetablerow">
<input type="text" name="txtSecondBusinessName" value="{$txtSecondBusinessName|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtSecondBusinessName"></td>
</tr>
<tr>
<td width="9%"> </td>
<td valign="top"><span class="controllabel">Address</span></td>
<td valign="top"><textarea name="txtAddress" rows="2" class="textbox_input" id="txtAddress">{$txtAddress|stripslashes}</textarea></td>
<td valign="top"><span class="controllabel">City</span></td>
<td valign="top"><input type="text" name="txtCity" value="{$txtCity|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtCity"></td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">State</span></td>
<td class="alternatetablerow">
<input type="text" name="txtState" value="{$txtState|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtState"></td>
<td class="alternatetablerow"><span class="controllabel">Zip Code</span></td>
<td class="alternatetablerow">
<input type="text" name="txtZipCode" value="{$txtZipCode|stripslashes}" size="10" maxlength="10" class="textbox_input" id="txtZipCode"></td>
</tr>
<tr>
<td width="9%"> </td>
<td><span class="controllabel">Country</span></td>
<td><input type="text" name="txtCountry" value="{$txtCountry|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtCountry"></td>
<td><span class="controllabel">Phone Number</span> <sup><span class="mandatory">*</span></sup></td>
<td><input type="text" name="txtPhone" value="{$txtPhone|stripslashes}" size="20" maxlength="20" class="textbox_input" id="txtPhone"></td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">Line of Business</span></td>
<td class="alternatetablerow">
<input type="text" name="txtLineofBusiness" value="{$txtLineofBusiness|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtLineofBusiness"></td>
<td class="alternatetablerow"><span class="controllabel">Website Name</span></td>
<td class="alternatetablerow">
<input type="text" name="txtWebSiteName" value="{$txtWebSiteName|stripslashes}" size="25" maxlength="50" class="textbox_input" id="txtWebSiteName"></td>
</tr>
<tr>
<td width="9%"> </td>
<td ><span class="controllabel">Lead Status</span></td>
<td>
<select name="cmbLeadStatus" id="cmbLeadStatus" onchange="showProductdivA();" class="select_input">
{if $cmbLeadStatus EQ ""}
<option value="0">---Select---</option>
{else}
{/if}
{html_options values=$ObjectID output=$ObjectName selected=$cmbLeadStatus}
</select>
</td>
<td colspan="2">
<div id="ClaformA" style="display:none;">
<table border="0" align="left" cellpadding="0" cellspacing="0">
<tr>
<td width="60%"><span class="controllabel">Appointment Date</span></td>
<td>
<input type="text" name="txtAppDtA" value="{$txtAppDtA}" class="textbox_input" readonly size="10">
<img src="images/calendar.gif" width="30" height="19" id="anchor1" onclick="displayCalendar(document.frmLeadsAddEdit.txtAppDtA,'dd/mm/yyyy',document.frmLeadsAddEdit.txtAppDtA)">
</td>
</tr>
</table>
</div>
</td>
</tr>
<!--<tr>
<td width="9%"> </td>
<td colspan="4">
<div id="ClaformA" style="display:none;">
<table border="0" align="left" cellpadding="0" cellspacing="0">
<tr>
<td ><span class="controllabel">Appointment Date</span></td>
<td>
<input type="text" name="txtAppDtA" value="{$txtAppDtA}" class="textbox_input" readonly size="10">
<img src="images/calendar.gif" width="30" height="19" id="anchor1" onclick="displayCalendar(document.frmLeadsAddEdit.txtAppDtA,'dd/mm/yyyy',document.frmLeadsAddEdit.txtAppDtA)">
</td>
</tr>
</table>
</div>
</td>
</tr>-->
<tr>
<td colspan="5">
<div id="prodformA" style="display:none;">
<table border="0" align="left" cellpadding="3" cellspacing="0" width="100%">
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow" width="13%">
<span class="controllabel">ProductType</span> <sup><span class="mandatory">*</span></sup>
</td>
<td class="alternatetablerow" width="27%">
<select name="cmbProductType" id="cmbProductType" onchange="DisplayProducts(this.value);" class="select_input">
{if $cmbProductType EQ ""}
<option value="0">---Select---</option>
{else}
{/if}
{html_options values=$ProductTypeID output=$ProductTypeName selected=$cmbProductType}
</select>
</td>
<td class="alternatetablerow" width="21%" valign="top"><span class="controllabel"> Product</span> <sup><span class="mandatory">*</span></sup></td>
<td class="alternatetablerow" width="24%" valign="top">
<span id="productSpan">
</span>
</td>
<td class="alternatetablerow" width="2%"> </td>
</tr>
<tr>
<td width="9%"> </td>
<td><span class="controllabel">WebSite1<sup><span class="mandatory">*</span></sup></span></td>
<td>
<input type="text" name="website1A" value="{$website1A}" size="20" maxlength="45" class="textbox_input">
</td>
<td><span class="controllabel"> WebSite2<sup></sup></span></span></td>
<td>
<input type="text" name="website2A" value="{$website2A}" size="20" maxlength="45" class="textbox_input">
</td>
<td width="2%"> </td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">WebSite3</span></td>
<td class="alternatetablerow">
<input type="text" name="website3A" value="{$website3A}" size="20" maxlength="45" class="textbox_input">
</td>
<td class="alternatetablerow"><span class="controllabel"> WebSite4</span></td>
<td class="alternatetablerow">
<input type="text" name="website4A" value="{$website4A}" size="20" maxlength="45" class="textbox_input">
</td>
<td class="alternatetablerow" width="2%"> </td>
</tr>
<tr>
<td width="9%"> </td>
<td><span class="controllabel">WebSite5</span></td>
<td colspan="4">
<input type="text" name="website5A" value="{$website5A}" size="20" maxlength="45" class="textbox_input">
</td>
</tr>
<tr>
<td class="alternatetablerow" width="9%"> </td>
<td class="alternatetablerow"><span class="controllabel">Upload File</span></td>
<td class="alternatetablerow" colspan="4">
<iframe id="popupsWebsiteA" src="php/Leads/uploadCustomerDocsA.php" width="300" height="30" marginheight="0" frameborder="text/css" scrolling="No"></iframe>
</td>
</tr>
<tr>
<td width="9%"> </td>
<td class="controllabel"><span class="controllabel">Uploaded File<br> Name</span></td>
<td colspan="4" class="controllabel">
<input type="text" name="OrgFileNameA" value="{$OrgFileNameA}" size="80" class="textbox_input" readonly>
<input type="hidden" name="DocNameA" value="{$DocNameA}">
<input type="hidden" name="DocPathA" value="{$DocPathA}">
</td>
</tr>
</table>
</div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
</tr>
</table>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
<td> </td>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
</tr>
<tr>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
<td align="center">
<table cellpadding="3" cellspacing="0" border="0">
<tr>
<td align="center" colspan="3">
{if $EditAddedLeadRights eq "1"}
<input type="button" name="save" class="button_submit" onclick="fnc_submitAddEditLead('frmLeadsAddEdit');">
{elseif $AddAddedLeadRights == 1 && $RawLeadID == 0}
<input type="button" name="save" class="button_submit" onclick="fnc_submitAddEditLead('frmLeadsAddEdit');">
{/if}
</td>
</tr>
</table>
</td>
<td valign="top" bgcolor="#AC0B0B" width="2"></td>
</tr>
</table>
<table width="100%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
<td align="left" width="40" valign="top" height="40"><img src="images/bottom_left_curve.gif" width="60" height="40"></td>
<td background="images/bottom_center.gif" > </td>
<td align="right" width="60"><img src="images/bottom_right_curve.gif" width="60" height="40"></td>
</tr>
</table>
</form>
<script language="javascript">asuA();</script>