<?xml version="1.0"?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" dir="{txt_content_direction}">
<head>
<title>{txt_script_name} {txt_script_version}</title>
<meta http-equiv="Content-Type" content="text/html; charset={txt_charset}" />
</head>
<style type="text/css">
<!--
body {
font-family:Arial,Helvetica,Geneva,Sans-serif,sans-serif;
}
p, td, br, form, div, span, blockquote {
font-family:Arial,Helvetica,Geneva,Sans-serif,sans-serif;
font-size:9pt;
}
.index {
font-weight:bold;
}
#poweredby {
text-align:center;
margin-top:30px;
}
-->
</style>
<body>
<h4>{txt_script_name}</h4>
<!-- Display error messages (required fields etc.) -->
<LOOP NAME="message">
<blockquote style="color:#FF5F00;">
<p style="font-weight:bold;">{message}</p>
<blockquote>{fields}</blockquote>
</blockquote>
</LOOP NAME="message">
<!-- Display posted information -->
<LOOP NAME="display_data">
<table border="0" cellpadding="3" cellspacing="0">
<tr>
<td class="index">{txt_firstname}</td>
<td> </td>
<td>{firstname}</td>
</tr>
<tr>
<td class="index">{txt_lastname}</td>
<td> </td>
<td>{lastname}</td>
</tr>
<tr>
<td class="index">{txt_email}</td>
<td> </td>
<td>{email}</td>
</tr>
<tr>
<td class="index">Fruits</td>
<td> </td>
<td>{checkbox:fruits}</td>
</tr>
<tr>
<td class="index">Countries</td>
<td> </td>
<td>{select:countries}</td>
</tr>
<tr>
<td class="index">{txt_subject}</td>
<td> </td>
<td>{subject}</td>
</tr>
<tr valign="top">
<td class="index">{txt_comment}</td>
<td> </td>
<td>{comment}</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
</table>
</LOOP NAME="display_data">
<!-- Display form -->
<IF NAME="display_form">
<form action="{script_self}" method="post">
<input type="hidden" name="required_fields" value="lastname, email, subject" />
<input type="hidden" name="email_fields" value="email" />
<input type="hidden" name="html_template" value="form.tpl.html" />
<input type="hidden" name="mail_template" value="mail.tpl.txt" />
<!-- <input type="hidden" name="thanks" value="./docu/thanks.html" /> -->
<table border="0" cellpadding="3" cellspacing="0">
<tr>
<td>{txt_firstname}</td>
<td> </td>
<td><input type="Text" name="firstname" value="{firstname}" size="40" /></td>
</tr>
<tr valign="bottom">
<td>{txt_lastname} *</td>
<td> </td>
<td>
<input type="Text" name="lastname" value="{lastname}" size="40" />
</td>
</tr>
<tr valign="bottom">
<td>{txt_email} *</td>
<td> </td>
<td>
<input type="Text" name="email" value="{email}" size="40" />
</td>
</tr>
<tr>
<td>Fruits</td>
<td> </td>
<td>
Choose at least 1 Fruit<br />
<input name="fruits[]" type="checkbox" value="Apple" {checkbox:fruits=Apple} /> Apple
<br />
<input name="fruits[]" type="checkbox" value="Pear" {checkbox:fruits=Pear} /> Pear
<br />
<input name="fruits[]" type="checkbox" value="Orange" {checkbox:fruits=Orange} /> Orange
<br />
<input name="fruits[]" type="checkbox" value="Cherry" {checkbox:fruits=Cherry} /> Cherry
</td>
</td>
<tr>
<td>Nice Countries</td>
<td> </td>
<td>
Choose at least 1 nice country<br />
<select name="countries[]" size="4" multiple="multiple">
<option value="US" {select:countries=US}>United States</option>
<option value="UK" {select:countries=UK}>United Kingdom</option>
<option value="DE" {select:countries=DE}>Germany</option>
<option value="FR" {select:countries=FR}>France</option>
<option value="ES" {select:countries=ES}>Spain</option>
</select>
</td>
</tr>
<tr>
<td valign="bottom">{txt_subject} *</td>
<td> </td>
<td>
<input type="Text" name="subject" value="{subject}" size="40" />
</td>
</tr>
<tr valign="top">
<td>{txt_comment}</td>
<td> </td>
<td><textarea name="comment" cols="30" rows="10">{comment}</textarea></td>
</tr>
<tr valign="top">
<td> </td>
<td> </td>
<td>
<input type="submit" name="mode_preview" value="{txt_preview}" />
<input type="submit" name="send" value="{txt_submit}" />
</td>
</tr>
</table>
</form>
<p>* = {txt_mandatory_fields}</p>
</IF NAME="display_form">
</body>
</html>