{*$product.pid*}
{if $current_page == 'product'}
{*$smarty.request.url*}
{**$userdata|@print_r**}
<div id="new-request-a-quote" class="invisible">
<div class="panel-product-request-quote panel clearfix {class file=$smarty.template editable=true draggable=true}">
<!--<h4 class="{class file=$smarty.template editable=true}">Request a Quote</h4>  -->
<div class="content {class file=$smarty.template editable=true}" style="margin:0;padding:0;">
<table width="100%" cellpadding="0" cellspacing="0" border="0">
{*
<!---<tr><td class="BoxHeader" align="{$LayoutBoxHeaderLayout}" style="background-image:URL(images/headers/english/headerQuote.png);height:58px;">Request A Quote</td></tr>--->
*}
<tr><td>
<table width="100%" cellpadding="0" cellspacing="1" border="0" class="BoxFrame">
<tr><td class="BoxContent" style="padding:15px 0px 15px 0px;text-align:center;">
{* ------------------------------------------------ *}
<div id="pk_quote_thanks" style="visiblity:hidden;display:none;">
<font color=#fab403>Thank you, your request has been sent. You will receive a reply within 24 hour</font>
<p><b>REQUEST A QUOTE</b></p>
<p>
Thank you, <br>
Your request has been sent. You will receive a quotation within 24 hours.<br>
If your quote request is urgent, call 1-518-218-7676<br>
<a href="{$url_http}?index.php"><b><font color=blue>Click here to return to Home Page</font></b></a><br>
</p>
</div>
<div id="pk_quote_form">
<TABLE width="100%" border="0" cellpadding="0" cellspacing="0" align="center" style="padding-left:8px;">
<TR>
<TD class="pk1" align="left">
<font  class="msg-notice"><B>Just complete the form below and we will reply within 24 hours.  Thanks!</b><br>
OR   Have an account already? <a href="{$url_https}p=login"> <span style="color:blue">LOGIN</span></a> - no need to fill out this form.
OR  <a href="{$url_https}p=signup"><span style="color:blue"> Create Account </span></a>  Saves time by not having to fill our future Request A Quote forms.  Makes available other features like: Save Searches, Receive New Product and Price Drop Alerts.</font>
<BR/>
{if count($errmsg)> 0}
<font color=red>Some errors were found. Please correct these errors and submit the form again.</font>
<br/><br/>
{/if}
<TABLE width="100%" border="0" cellpadding="5" cellspacing="5">
<FORM id="FrmInput" name="box_quote" method="post">
<input type="hidden" id="formaction" name="formaction" value="post" />
<input type="hidden" name="pid" id="pid" value="{$product.pid}" />
<TR>
<TD align="left" class="pk1">
<FONT color="red">*</FONT> - required field <br>
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<FONT color="red">*</FONT>
{if $errmsg.company != ''}
<font color=red>Company:</font>
{else}
<font class="msg-notice"><b>Company:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="company" id="company" size="25" class="formTextbox" value="{$userdata.company|htmlspecialchars}" 
style="width:150px;"
>
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<FONT color="red">*</FONT>
{if $errmsg.fname != ''}
<font color=red>First Name:</font>
{else}
<font class="msg-notice"><b>First Name:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="fname" id="fname" size="25" class="formTextbox" value="{$userdata.fname|htmlspecialchars}" 
style="width:150px;"
>
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<FONT color="red">*</FONT>
{if $errmsg.lname != ''}
<font color=red>Last Name:</font>
{else}
<font class="msg-notice"><b>Last Name:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="lname" id="lname" size="25" class="formTextbox" value="{$userdata.lname|htmlspecialchars}" 
style="width:150px;"
>
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<FONT color="red">*</FONT>
{if $errmsg.email != ''}
<font color=red>Email:</font>
{else}
<font class="msg-notice" align="top"><b>Email:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="email" id="email" size="20" class="formTextbox" value="{$userdata.email|htmlspecialchars}" style="width:150px;">
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<FONT color="red">*</FONT>
{if $errmsg.phone != ''}
<font color=red>Phone:</font>
{else}
<font class="msg-notice"><b>Phone:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="phone" id="phone" size="20" class="formTextbox" value="{$userdata.phone|htmlspecialchars}"
style="width:150px;">
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<font class="msg-notice"><b>Address 1:</b></font>
</TD>
<TD>
<INPUT type="text" name="addr1" id="addr1" size="25" class="formTextbox" value="{$userdata.address1|htmlspecialchars}"
style="width:150px;">
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<font class="msg-notice"><b>Address 2:</b></font>
</TD>
<TD>
<INPUT type="text" name="addr2" id="addr2" size="25" class="formTextbox" value="{$userdata.address2|htmlspecialchars}"
style="width:150px;">
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
{if $errmsg.city != ''}
<font color=red>City/Town:</font>
{else}
<font class="msg-notice"><b>City/Town:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="city" id="city" class="formTextbox" value="{$userdata.city|htmlspecialchars}" style="width:150px;">
                             </TD>
</TR>
                        <TR>
<TD class="pk1" align="left">
{if $errmsg.state != ''}
<font color=red>State/Province/Territory:</font>
{else}
<font class="msg-notice"><b>State/Province/Territory:</b></font>
{/if}
</TD>
<TD>
<INPUT Type='hidden'   MaxLength="100"  name='_OfficeState93262' id='_OfficeState93262' value=" " class="stdTextField1"><SPAN id='DivUS'>
<SELECT name="cmbUSAState" id="cmbUSAState" class="formSelect" onChange='javascript:AssignState(this.value);' style="width:154px;">
<OPTION value=''></OPTION>
<OPTION size="30" value='AL'>Alabama</OPTION>
<OPTION size="30" value='AK'>Alaska</OPTION>
<OPTION size="30" value='AZ'>Arizona</OPTION>
<OPTION size="30" value='AR'>Arkansas</OPTION>
<OPTION size="30" value='CA'>California</OPTION>
<OPTION size="30" value='CO'>Colorado</OPTION>
<OPTION size="30" value='CT'>Connecticut</OPTION>
<OPTION size="30" value='DE'>Delaware</OPTION>
<OPTION size="30" value='DC'>District of Columbia</OPTION>
<OPTION size="30" value='FL'>Florida</OPTION>
<OPTION size="30" value='GA'>Georgia</OPTION>
<OPTION size="30" value='HI'>Hawaii</OPTION>
<OPTION size="30" value='ID'>Idaho</OPTION>
<OPTION size="30" value='IL'>Illinois</OPTION>
<OPTION size="30" value='IN'>Indiana</OPTION>
<OPTION size="30" value='IA'>Iowa</OPTION>
<OPTION size="30" value='KS'>Kansas</OPTION>
<OPTION size="30" value='KY'>Kentucky</OPTION>
<OPTION size="30" value='LA'>Louisiana</OPTION>
<OPTION size="30" value='ME'>Maine</OPTION>
<OPTION size="30" value='MD'>Maryland</OPTION>
<OPTION size="30" value='MA'>Massachusetts</OPTION>
<OPTION size="30" value='MI'>Michigan</OPTION>
<OPTION size="30" value='MN'>Minnesota</OPTION>
<OPTION size="30" value='MS'>Mississippi</OPTION>
<OPTION size="30" value='MO'>Missouri</OPTION>
<OPTION size="30" value='MT'>Montana</OPTION>
<OPTION size="30" value='NE'>Nebraska</OPTION>
<OPTION size="30" value='NV'>Nevada</OPTION>
<OPTION size="30" value='NH'>New Hampshire</OPTION>
<OPTION size="30" value='NJ'>New Jersey</OPTION>
<OPTION size="30" value='NM'>New Mexico</OPTION>
<OPTION size="30" value='NY'>New York</OPTION>
<OPTION size="30" value='NC'>North Carolina</OPTION>
<OPTION size="30" value='ND'>North Dakota</OPTION>
<OPTION size="30" value='OH'>Ohio</OPTION>
<OPTION size="30" value='OK'>Oklahoma</OPTION>
<OPTION size="30" value='OR'>Oregon</OPTION>
<OPTION size="30" value='Other'>Other</OPTION>
<OPTION size="30" value='PA'>Pennsylvania</OPTION>
<OPTION size="30" value='PR'>Puerto Rico</OPTION>
<OPTION size="30" value='RI'>Rhode Island</OPTIO n>
<OPTION size="30" value='SC'>South Carolina</OPTION>
<OPTION size="30" value='SD'>South Dakota</OPTION>
<OPTION size="30" value='TN'>Tennessee</OPTION>
<OPTION size="30" value='TX'>Texas</OPTION>
<OPTION size="30" value='UT'>Utah</OPTION>
<OPTION size="30" value='VT'>Vermont</OPTION>
<OPTION size="30" value='VA'>Virginia</OPTION>
<OPTION size="30" value='WA'>Washington</OPTION>
<OPTION size="30" value='WV'>West Virginia</OPTION>
<OPTION size="30" value='WI'>Wisconsin</OPTION>
<OPTION size="30" value='WY'>Wyoming</OPTION>
</SELECT></SPAN><SPAN id='DivCanada' style="display:none"><SELECT name="cmbCanadaState" id="cmbCanadaState" class="formSelect" onChange='javascript:AssignState(this.value);'>
<OPTION value=''></OPTION>
<OPTION size="30" value='Alberta'>Alberta</OPTION>
<OPTION size="30" value='British Columbia'>British Columbia</OPTION>
<OPTION size="30" value='Manitoba'>Manitoba</OPTION>
<OPTION size="30" value='New Brunswick'>New Brunswick</OPTION>
<OPTION size="30" value='Newfoundland'>Newfoundland</OPTION>
<OPTION size="30" value='Northwest Territories'>Northwest Territories</OPTION>
<OPTION size="30" value='Nova Scotia'>Nova Scotia</OPTION>
<OPTION size="30" value='Nunavut'>Nunavut</OPTION>
<OPTION size="30" value='Ontario'>Ontario</OPTION>
<OPTION size="30" value='Prince Edward Island'>Prince Edward Island</OPTION>
<OPTION size="30" value='Quebec'>Quebec</OPTION>
<OPTION size="30" value='Saskatchewan'>Saskatchewan</OPTION>
<OPTION size="30" value='Yukon'>Yukon</OPTION>
</SELECT></SPAN><SPAN id='DivOthers' style="display:none">
<INPUT Type=text MaxLength="100"  id='txtOtherState' name='txtOtherState' value="" class='stdTextField1'  onchange='javascript:AssignState(this.value);'></SPAN>
{literal}
<SCRIPT language='javascript'>function AssignState(strState)
{
document.FrmInput._OfficeState93262.value = strState;
}
</SCRIPT>
{/literal}
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
{if $errmsg.zip != ''}
<font color=red>Zip/Postal Code:</font>
{else}
<font class="msg-notice"><b>Zip/Postal Code:</b></font>
{/if}
</TD>
<TD>
<INPUT type="text" name="zip" id="zip" size="7" maxlength="10" class="formTextbox" value="{$userdata.zip|htmlspecialchars}" style="width:150px;">
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
<FONT color="red">*</FONT>
{if $errmsg.country != ''}
<font color=red>Country:</font>
{else}
<font class="msg-notice"><b>Country:</b></font>
{/if}
</TD>
<TD>
<SELECT class="formSelect" name="_OfficeCountry93259" id="_OfficeCountry93259" enabled onChange='javascript:DisplayCountry()' onKeyPress="javascript:chkEnterKey();"
style="width:154px;">
<OPTION value="USA">USA</OPTION>
<OPTION value="Afghanistan">Afghanistan</OPTION>
<OPTION value="Albania">Albania</OPTION>
<OPTION value="Algeria">Algeria</OPTION>
<OPTION value="Andorra">Andorra</OPTION>
<OPTION value="Angola">Angola</OPTION>
<OPTION value="Anguilla">Anguilla</OPTION>
<OPTION value="Antarctica">Antarctica</OPTION>
<OPTION value="Antigua and Barbuda">Antigua and Barbuda</OPTION>
<OPTION value="Argentina">Argentina</OPTION>
<OPTION value="Armenia">Armenia</OPTION>
<OPTION value="Aruba">Aruba</OPTION>
<OPTION value="Australia">Australia</OPTION>
<OPTION value="Austria">Austria</OPTION>
<OPTION value="Azerbaijan">Azerbaijan</OPTION>
<OPTION value="Bahamas">Bahamas</OPTION>
<OPTION value="Bahrain">Bahrain</OPTION>
<OPTION value="Bangladesh">Bangladesh</OPTION>
<OPTION value="Barbados">Barbados</OPTION>
<OPTION value="Belarus">Belarus</OPTION>
<OPTION value="Belgium">Belgium</OPTION>
<OPTION value="Belize">Belize</OPTION>
<OPTION value="Benin">Benin</OPTION>
<OPTION value="Bermuda">Bermuda</OPTION>
<OPTION value="Bhutan">Bhutan</OPTION>
<OPTION value="Bolivia">Bolivia</OPTION>
<OPTION value="Bosnia & Herzegovina">Bosnia & Herzegovina</OPTION>
<OPTION value="Botswana">Botswana</OPTION>
<OPTION value="Brazil">Brazil</OPTION>
<OPTION value="Brunei">Brunei</OPTION>
<OPTION value="Bulgaria">Bulgaria</OPTION>
<OPTION value="Burkina Faso">Burkina Faso</OPTION>
<OPTION value="Burundi">Burundi</OPTION>
<OPTION value="Cambodia">Cambodia</OPTION>
<OPTION value="Cameroon">Cameroon</OPTION>
<OPTION value="Canada">Canada</OPTION>
<OPTION value="Cape Verde">Cape Verde</OPTION>
<OPTION value="Cayman Islands">Cayman Islands</OPTION>
<OPTION value="Central African Republic">Central African Republic</OPTION>
<OPTION value="Chile">Chile</OPTION>
<OPTION value="China - PRC">China - PRC</OPTION>
<OPTION value="Christmas Island">Christmas Island</OPTION>
<OPTION value="Colombia">Colombia</OPTION>
<OPTION value="Comoros">Comoros</OPTION>
<OPTION value="Congo">Congo</OPTION>
<OPTION value="Cook Islands">Cook Islands</OPTION>
<OPTION value="Costa Rica">Costa Rica</OPTION>
<OPTION value="Cote D'Ivoire">Cote D'Ivoire</OPTION>
<OPTION value="Croatia">Croatia</OPTION>
<OPTION value="Cuba">Cuba</OPTION>
<OPTION value="Cyprus">Cyprus</OPTION>
<OPTION value="Czech Republic">Czech Republic</OPTION>
<OPTION value="Democratic Republic of the Congo">Democratic Republic of the Congo</OPTION>
<OPTION value="Denmark">Denmark</OPTION>
<OPTION value="Djibouti">Djibouti</OPTION>
<OPTION value="Dominica">Dominica</OPTION>
<OPTION value="Dominican Republic">Dominican Republic</OPTION>
<OPTION value="East Timor">East Timor</OPTION>
<OPTION value="Ecuador">Ecuador</OPTION>
<OPTION value="Egypt">Egypt</OPTION>
<OPTION value="El Salvador">El Salvador</OPTION>
<OPTION value="Equitorial Guinea">Equitorial Guinea</OPTION>
<OPTION value="Eritrea">Eritrea</OPTION>
<OPTION value="Estonia">Estonia</OPTION>
<OPTION value="Ethiopia">Ethiopia</OPTION>
<OPTION value="Falkland Islands">Falkland Islands</OPTION>
<OPTION value="Faroe Islands">Faroe Islands</OPTION>
<OPTION value="Fiji">Fiji</OPTION>
<OPTION value="Finland">Finland</OPTION>
<OPTION value="France">France</OPTION>
<OPTION value="French Guiana">French Guiana</OPTION>
<OPTION value="French Polynesia">French Polynesia</OPTION>
<OPTION value="Gabon">Gabon</OPTION>
<OPTION value="Gambia">Gambia</OPTION>
<OPTION value="Georgia">Georgia</OPTION>
<OPTION value="Germany">Germany</OPTION>
<OPTION value="Ghana">Ghana</OPTION>
<OPTION value="Gibraltar">Gibraltar</OPTION>
<OPTION value="Greece">Greece</OPTION>
<OPTION value="Greenland">Greenland</OPTION>
<OPTION value="Grenada">Grenada</OPTION>
<OPTION value="Guadaloupe">Guadaloupe</OPTION>
<OPTION value="Guam">Guam</OPTION>
<OPTION value="Guatemala">Guatemala</OPTION>
<OPTION value="Guernsey">Guernsey</OPTION>
<OPTION value="Guinea">Guinea</OPTION>
<OPTION value="Guinea-Bissau">Guinea-Bissau</OPTIO n>
<OPTION value="Guyana">Guyana</OPTION>
<OPTION value="Haiti">Haiti</OPTION>
<OPTION value="Holland">Holland</OPTION>
<OPTION value="Honduras">Honduras</OPTION>
<OPTION value="Hong Kong">Hong Kong</OPTION>
<OPTION value="Hungary">Hungary</OPTION>
<OPTION value="Iceland">Iceland</OPTION>
<OPTION value="India">India</OPTION>
<OPTION value="Indonesia">Indonesia</OPTION>
<OPTION value="Iran">Iran</OPTION>
<OPTION value="Iraq">Iraq</OPTION>
<OPTION value="Ireland">Ireland</OPTION>
<OPTION value="Isle of Man">Isle of Man</OPTION>
<OPTION value="Israel">Israel</OPTION>
<OPTION value="Italy">Italy</OPTION>
<OPTION value="Jamaica">Jamaica</OPTION>
<OPTION value="Japan">Japan</OPTION>
<OPTION value="Jersey">Jersey</OPTION>
<OPTION value="Jordan">Jordan</OPTION>
<OPTION value="Kazakhstan">Kazakhstan</OPTION>
<OPTION value="Kenya">Kenya</OPTION>
<OPTION value="Kiribati">Kiribati</OPTION>
<OPTION value="Kitts and Nevis">Kitts and Nevis</OPTION>
<OPTION value="Korea - North">Korea - North</OPTION>
<OPTION value="Korea - South">Korea - South</OPTION>
<OPTION value="Kuwait">Kuwait</OPTION>
<OPTION value="Kyrgyzstan">Kyrgyzstan</OPTION>
<OPTION value="Laos">Laos</OPTION>
<OPTION value="Latvia">Latvia</OPTION>
<OPTION value="Lebanon">Lebanon</OPTION>
<OPTION value="Lesotho">Lesotho</OPTION>
<OPTION value="Liberia">Liberia</OPTION>
<OPTION value="Libya">Libya</OPTION>
<OPTION value="Liechtenstein">Liechtenstein</OPTION>
<OPTION value="Lithuania">Lithuania</OPTION>
<OPTION value="Luxembourg">Luxembourg</OPTION>
<OPTION value="Macau">Macau</OPTION>
<OPTION value="Macedonia">Macedonia</OPTION>
<OPTION value="Madagascar">Madagascar</OPTION>
<OPTION value="Malawi">Malawi</OPTION>
<OPTION value="Malaysia">Malaysia</OPTION>
<OPTION value="Maldives">Maldives</OPTION>
<OPTION value="Mali">Mali</OPTION>
<OPTION value="Malta">Malta</OPTION>
<OPTION value="Marshall Islands">Marshall Islands</OPTION>
<OPTION value="Martinique">Martinique</OPTION>
<OPTION value="Mauritania">Mauritania</OPTION>
<OPTION value="Mauritius">Mauritius</OPTION><OPTION value="Mayotte">Mayotte</OPTION>
<OPTION value="Mexico">Mexico</OPTION>
<OPTION value="Micronesia">Micronesia</OPTION>
<OPTION value="Moldova">Moldova</OPTION>
<OPTION value="Monaco">Monaco</OPTION>
<OPTION value="Mongolia">Mongolia</OPTION>
<OPTION value="Monte Carlo">Monte Carlo</OPTION>
<OPTION value="Montserrat">Montserrat</OPTION>
<OPTION value="Morocco">Morocco</OPTION>
<OPTION value="Mozambique">Mozambique</OPTION>
<OPTION value="Myanmar">Myanmar</OPTION>
<OPTION value="Namibia">Namibia</OPTION>
<OPTION value="Nauru">Nauru</OPTION>
<OPTION value="Nepal">Nepal</OPTION>
<OPTION value="Netherlands">Netherlands</OPTION>
<OPTION value="Netherlands Antilles">Netherlands Antilles</OPTION>
<OPTION value="New Caledonia">New Caledonia</OPTION>
<OPTION value="New Zealand">New Zealand</OPTION>
<OPTION value="Nicaragua">Nicaragua</OPTION>
<OPTION value="Niger">Niger</OPTION>
<OPTION value="Nigeria">Nigeria</OPTION>
<OPTION value="Niue">Niue</OPTION>
<OPTION value="Northern Mariana Islands">Northern Mariana Islands</OPTION>
<OPTION value="Norway">Norway</OPTION>
<OPTION value="Not Assigned">Not Assigned</OPTION>
<OPTION value="Oman">Oman</OPTION>
<OPTION value="Other (not listed)">Other (not listed)</OPTION>
<OPTION value="Pakistan">Pakistan</OPTION>
<OPTION value="Palau">Palau</OPTION>
<OPTION value="Panama">Panama</OPTION>
<OPTION value="Papua New Guinea">Papua New Guinea</OPTION>
<OPTION value="Paraguay">Paraguay</OPTION>
<OPTION value="Peru">Peru</OPTION>
<OPTION value="Philippines">Philippines</OPTION>
<OPTION value="Pitcairn Island">Pitcairn Island</OPTION>
<OPTION value="Poland">Poland</OPTION>
<OPTION value="Portugal">Portugal</OPTION>
<OPTION value="Puerto Rico">Puerto Rico</OPTION>
<OPTION value="Qatar">Qatar</OPTION>
<OPTION value="Reunion">Reunion</OPTION>
<OPTION value="Romania">Romania</OPTION>
<OPTION value="Russia">Russia</OPTION>
<OPTION value="Rwanda">Rwanda</OPTION>
<OPTION value="S. Georgia and the S. Sandwich Is.">S. Georgia and the S. Sandwich Is.</OPTION>
<OPTION value="Saint Kitts And Nevis">Saint Kitts And Nevis</OPTION>
<OPTION value="Saint Lucia">Saint Lucia</OPTION>
<OPTION value="Saint Vincent & the Grenadines">Saint Vincent & the Grenadines</OPTION>
<OPTION value="Samoa-American">Samoa-American</OPTION>
<OPTION value="Samoa-Western">Samoa-Western</OPTION>
<OPTION value="San Marino">San Marino</OPTION>
<OPTION value="Sao Tome and Principe">Sao Tome and Principe</OPTION>
<OPTION value="Saudi Arabia">Saudi Arabia</OPTION>
<OPTION value="Scotland">Scotland</OPTION>
<OPTION value="Senegal">Senegal</OPTION>
<OPTION value="Seychelles">Seychelles</OPTION>
<OPTION value="Sierra Leone">Sierra Leone</OPTION>
<OPTION value="Singapore">Singapore</OPTION>
<OPTION value="Slovakia">Slovakia</OPTION>
<OPTION value="Slovenia">Slovenia</OPTION>
<OPTION value="Solomon Islands">Solomon Islands</OPTION>
<OPTION value="Somalia">Somalia</OPTION>
<OPTION value="South Africa">South Africa</OPTION>
<OPTION value="Spain">Spain</OPTION>
<OPTION value="Sri Lanka">Sri Lanka</OPTION>
<OPTION value="Sudan">Sudan</OPTION>
<OPTION value="Suriname">Suriname</OPTION>
<OPTION value="Swaziland">Swaziland</OPTION>
<OPTION value="Sweden">Sweden</OPTION>
<OPTION value="Switzerland">Switzerland</OPTION>
<OPTION value="Syria">Syria</OPTION>
<OPTION value="Taiwan">Taiwan</OPTION>
<OPTION value="Tajikistan">Tajikistan</OPTION>
<OPTION value="Tanzania">Tanzania</OPTION>
<OPTION value="Thailand">Thailand</OPTION>
<OPTION value="Togo">Togo</OPTION>
<OPTION value="Tonga">Tonga</OPTION>
<OPTION value="Trinidad and Tobago">Trinidad and Tobago</OPTION>
<OPTION value="Tunisia">Tunisia</OPTION>
<OPTION value="Turkey">Turkey</OPTION>
<OPTION value="Turkmenistan">Turkmenistan</OPTION>
<OPTION value="Tuvalu">Tuvalu</OPTION>
<OPTION value="Uganda">Uganda</OPTION>
<OPTION value="Ukraine">Ukraine</OPTION>
<OPTION value="United Arab Emirates">United Arab Emirates</OPTION>
<OPTION value="United Kingdom">United Kingdom</OPTION>
<OPTION value="Uruguay">Uruguay</OPTION>
<OPTION selected value="USA">USA</OPTION>
<OPTION value="Uzbekistan">Uzbekistan</OPTION>
<Option value="Vanuatu">Vanuatu</OPTION>
<OPTION value="Vatican City">Vatican City</OPTION>
<OPTION value="Venezuela">Venezuela</OPTION>
<OPTION value="Vietnam">Vietnam</OPTION>
<OPTION value="Virgin Islands">Virgin Islands</OPTION>
<OPTION value="Western Sahara">Western Sahara</OPTION>
<OPTION value="Yemen">Yemen</OPTION>
<OPTION value="Yugoslavia">Yugoslavia</OPTION>
<OPTION value="Zambia">Zambia</OPTION>
<OPTION value="Zimbabwe">Zimbabwe</OPTION>
</SELECT>
{literal}
<SCRIPT language='javascript'>
function DisplayCountry() {
var strDisplayUSA, strDisplayCanada, strDisplayOther;
var strCountry;
strDisplayUSA = 'none';
strDisplayCanada='none';
strDisplayOther = 'none';
strCountry = document.getElementById('_OfficeCountry93259').value;
if (strCountry == 'USA'){
document.FrmInput.txtOtherState.value = '';
strDisplayUSA = '';
AssignState(document.FrmInput.cmbUSAState.value);
} else if (strCountry == 'Canada'){
document.FrmInput.txtOtherState.value = '';
strDisplayCanada = '';
AssignState(document.FrmInput.cmbCanadaState.value);
}else{
strDisplayOther = '';
AssignState(document.FrmInput.txtOtherState.value);
};
if(navigator.appName == 'Netscape') {
document.getElementById('DivUS').style.display     = strDisplayUSA;
document.getElementById('DivCanada').style.display = strDisplayCanada;
document.getElementById('DivOthers').style.display = strDisplayOther;
}else {
document.all.DivUS.style.display= strDisplayUSA;
document.all.DivCanada.style.display= strDisplayCanada;
document.all.DivOthers.style.display= strDisplayOther;
};
}
</SCRIPT>
{/literal}
</TD>
</TR>
<TR>
<TD class="pk1" align="left" valign="top">
<font class="msg-notice"><b>Comments or Questions:</b></font>
</TD>
<TD>
<TEXTAREA name="description" id="description" rows="7" cols="20" style="width:150px;">{$form.description|htmlspecialchars}</TEXTAREA>
</TD>
</TR>
<!--
<TR>
<TD class="pk1" align="left" valign="top">
<font class="msg-notice">I'm also interested in:</font>
</TD>
<TD>
<TEXTAREA name="other" rows="7" cols="20" style="width:150px;">{$form.other|htmlspecialchars}</TEXTAREA>
</TD>
</TR>
<TR>
<TD class="pk1" align="left">
                             <font class="msg-notice">Call me</font>
</TD>
<TD>
<INPUT type="checkbox" name="call_me" value="Y" {if $form.call_me == 'Y'} checked{/if}> 
</TD>
</TR> -->
<TR>
<TD class="pk1" align="center" colspan="2">
<br/>
<INPUT type="submit" name="save" value="Submit" class=formButton ID="request_quote_submit">
<INPUT type="reset" value="Rest" class=formButton ID="Button1">
</TD>
</TR>
</FORM>
</TABLE>
</TD>
</TR>
</TABLE>
</div>
<div id="output1" style="visibility:hidden;display:none;"></div>
{literal}
<script language="Javascript">
$(document).ready(function() { 
    var options = { 
        target:        '#output1',
success:       showResponse
}
    ('#FrmInput').submit(function() {
var f = document.forms.FrmInput;
// simple validation, old-style
if (f.company.value == "") {
alert("Please enter company name");
f.company.focus();
return false;
}
if (f.fname.value == "") {
alert("Please enter your first name");
f.fname.focus();
return false;
}
if (f.lname.value == "") {
alert("Please enter your last name");
f.lname.focus();
return false;
}
if (f.email.value == "") {
alert("Please enter your email");
f.email.focus();
return false;
}
if(!isEmail(f.email.value)) {
alert("Please enter a valid email address to continue");
f.email.focus();
return false;
}
if (f.phone.value == "") {
alert("Please enter your phone");
f.phone.focus();
return false;
}
alert("rrr");
return false;
$('#FrmInput').ajaxSubmit(options); 
        return false; 
    });
});
function showResponse(responseText, statusText)  { 
//alert("here");
//return false;
    // for normal html responses, the first argument to the success callback 
    // is the XMLHttpRequest object's responseText property 
    // if the ajaxForm method was passed an Options Object with the dataType 
    // property set to 'xml' then the first argument to the success callback 
    // is the XMLHttpRequest object's responseXML property 
    // if the ajaxForm method was passed an Options Object with the dataType 
    // property set to 'json' then the first argument to the success callback 
    // is the json data object returned by the server 
 //alert("out")
 if (responseText == 'OK') {
//alert("SDfds");
var pkmf = document.getElementById('pk_quote_form');
var pkthanks = document.getElementById('pk_quote_thanks');
if (pkmf) {
pkmf.style.visibility = 'hidden';
pkmf.style.display = 'none';
pkthanks.style.visibility = 'visible';
pkthanks.style.display = 'block';
}
}
   //  alert('status: ' + statusText + '\n\nresponseText: \n' + responseText + '\n\nThe output div should have already been updated with the responseText.'); 
} 
</script>
{/literal}
{* ------------------------------------------------ *}
</td></tr>
</table>
</td></tr>
{*<td bgcolor="#FFFFFF">&nbsp;</td>*}
</table>
</div>
</div>
</div>
{/if}