<?php
// IMPORTANT: THIS FORM MUST BE SAVED AS A PHP FILE - USUALLY WITH A .php extension.


/*
Author: Stuart Cochrane
URL: www.freecontactform.com
Email: stuartc1@gmail.com
Date: 26th July 2007
Version: 3.0 Beta 2
Updates: Additional protection from human compromise
License: Free to use and edit,
 but all comments and must remain intact.
 Link to author website MUST remain -
 unless you have purchased the rights to
 remove it!! - see README file for details.
*/

// you MUST include the config.php file before your form
include 'config.php';


// You can edit the form fields below if you like
// but you must leave intact all parts which are indicated
// with comments
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"><!-- InstanceBegin template="/Templates/top-template.dwt" codeOutsideHTMLIsLocked="false" -->
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<!-- InstanceBeginEditable name="doctitle" -->
<title>Big Issues</title>
<!-- InstanceEndEditable -->
<head> 
<style type="text/css">
body
{font-size:100%;
font-family:"Arial","Helvetica;"}
h1
{
font-size:150%;
color:#000099;
}
h2
{
font-size:130%;
color:#000099;
}
h3
{
font-size:113%;
color:#000099;
margin-top: 0px;
margin-bottom: 0px;
}
h6
{
color:#000099;
font-size:300%;
margin-top: 0px;
margin-bottom: 0px;
}

a:link {
        color: #0000ff;
        font-weight: bold;
        text-decoration: underline;
}
a:visited {
        color: #000099;
        font-weight: normal;
        text-decoration: underline;
}
a:hover {
        color: #0000ff;
        text-decoration: none;
}
a:active {
        color: #0000ff;
        text-decoration: none;
}
.layout_footer {background-color:#00542B; color:#ffffff; font-size:65%; padding:5px;}
.navlevel1_separator {border-bottom:1px solid #000099;}
.left_col a{   color:#0000ff; text-decoration:underline;}
.left_col a:hover {   color:#000099; text-decoration:none; font-weight: normal;}
.left_col {color:#000099;}
.left_col {font-size: 90%;}
</style>
</head>

<!-- InstanceBeginEditable name="head" -->
	<!-- if you want to use basic JavaScript validation, keep the JS file call below -->
	<script type="text/javascript" src="validation.js"></script>
	<script type="text/javascript">
	// SPECIFY ALL REQUIRED FIELDS AND
	// SEE validation.js for other options
	required.add('name', 'NOT_EMPTY');
	required.add('email', 'EMAIL');
	required.add('enquiry', 'NOT_EMPTY');
	required.add('telephone', 'NOT_EMPTY');
	required.add('spam_prevention', 'NUMERIC');
	</script>
    <style type="text/css">
<!--
.style1 {
  color: #006666;
  font-weight: bold;
}
-->
    </style>
<!-- InstanceEndEditable -->
</head>
<? include("../top.htm");?>
      <!-- InstanceBeginEditable name="Anim-Area" -->
      <!-- InstanceEndEditable --></div>
<!-- InstanceBeginEditable name="EditPageContent" -->
	  <h1>Contact Us</h1>
		  <p>
		  <form action="process_form.php" method="post" id="contact" onsubmit="return validate.check()">
          	    
          	    <div class="form-feedback">
          	      <?php
				if(isset($_GET['done'])) {
					echo '<div class="conf-message">'.$confirmation_message.'</div>';
				}
				?>
          	      
          	      <?php
				  if(isset($_GET['prob'])) {
					  echo base64_decode(urldecode($_GET['prob']));
				  }
				?>
       	        </div>
          	    
          	    <p>Your Name<em>* </em> <input id="name" size="43" name="name" type="text" onblur="trim('name')" /><br />
          	      <br />
          	      Email address<em>* </em> <input id="email" size="43" name="email" type="text" onblur="trim('email')" /><br />
          	      
          	      <br />
          	      Telephone Number<em></em> <input id="telephone" size="43" name="telephone" type="text" onblur="trim('telephone')" /><br />
          	      <br />
  <!--    Best contact time: <input type="radio" name="Contact time" value="evening" />Evening <input type="radio" name="Contact time" value="day" />Day <br />
-->    <br />
          	      
          	      Please enter your comment below<em>*</em>  <br />
          	      
          	      <textarea id="enquiry" rows="9" cols="50" name="enquiry" onblur="trim('enquiry')" ></textarea><br />
          	      <br />
  <!--    <select id="referred_from" name="Referred from">
    <option>How did you hear about us?</option>
    <option value="Craft show">Saw you at a show</option>

    <option value="Search engine">Search engine</option>
    <option value="Friend" selected="selected">Recommended by a friend</option>
    <option value="Other website">Other website</option>
    <option value="Newspaper/magazine">Newspaper / Magazine</option>
    </select> <br />
    <br />
-->
       	        </p>
  <!-- the section below MUST remain for the magic to work -->
          	    <!-- although feel free to change the style / layout -->
          	    <p><?php echo $question; ?> <em>*</em>
          	      <input type="text" name="spam_prevention" size="6" id="spam_prevention" onblur="trim('spam_prevention')" /> &nbsp;
          	      
          	      <!-- the link below MUST remain if you have not purchased a license -->
          	      Spam prevention <a href="http://www.freecontactform.com/" title="Contact Form Script">contact form</a> question.
          	      <br />(Please add the two numbers together to answer the question)</p>
          	    <!-- link above MUST remain if you have not purchased a license -->
          	    <!-- section above must remain -->
          	    
          	    <p>
          	      <input type="submit" name="submit" value="submit" class="btn" />
          	      <input name="reset" type="reset" id="reset" value="reset" class="btn" />
       	        </p>
          	    
          	    <!-- the 2 hidden fields below must REMAIN for the magic to work -->
       	    <p>
          	      <input type="hidden" name="answer_p" value="<?php echo $answer_pass; ?>" />
       	      <input type="hidden" name="enc" value="<?php echo $enc; ?>" /></p>
       	    </form>
   	  </div>
		<!-- InstanceEndEditable -->
    </div>
    <div id="left-col">
      	<!--#include virtual="../edit-left-menu.htm" -->
    </div>
    <div class="foot-banner">
    </div> 
  </div>
</div>
    <!-- InstanceBeginEditable name="EditFooter" -->
    <script type="text/javascript">
	var Product = new Array();
	var px=0;
	Product[px++] = "PRAA100^0";
	Product[px++] = "PRAA102^0";
	</script>
	<!-- InstanceEndEditable -->
</div>
<script type="text/javascript">
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");
document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
</script>
<script type="text/javascript">
try {
var pageTracker = _gat._getTracker("UA-10656504-1");
pageTracker._trackPageview();
} catch(err) {}</script>
<? include("../bottom.htm");?>

