{*$product.pid*}
{if $current_page == 'product'}
{*$smarty.request.url*}
{**$userdata|@print_r**}

<script language="javascript" type="text/javascript">
	var countriesStates = {$countries_states};
	{literal}
	$(document).ready(function(){
		setCountriesStates(
			{/literal}
			"#billing_country_quote", "{$userdata.country}",
			"#billing_state_quote", "{$userdata.state}",
			"#billing_province_quote", "{$userdata.province|htmlspecialchars}",
			countriesStates
			{literal}
		);
			var productlink = $("#productlink").val();
			//alert(productlink);	
			var link = $('#raq_prdturl').attr('href');			
			$("#raq_prdturl").attr("href", link+"?"+productlink);
		
	});
	{/literal}
	</script>
<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>
		<table width="100%" cellpadding="0" cellspacing="1" border="0" class="BoxFrame">
			<tr><td class="BoxContent" style="padding:15px 0px 15px 0px;">		
				<div id="pk_quote_thanks" style="visiblity:hidden;display:none;">
						<p style="font-family:'verdana', Arial, Helvetica, sans-serif !important;font-size: 12px !important;">Thank You, <br><br>
						Your request has been sent. You will receive a quotation within 24 hours.<br><br>
						If your quote request is urgent, call 1-518-218-7676<br><br>
				<a href="{$url_http}?index.php"><font color=blue><b>Click here to return to Home Page</font></b></a><br><br>
						{*$product|print_r*}
						<a id="raq_prdturl" href="{$product.url}"><font color=blue><b>Click here to return to Product Page</b></a>
					</p>
				</div>

<div id="pk_quote_form">
<form>
	<TABLE width="100%" border="0" cellpadding="5" cellspacing="5" align="center" style="padding-left:8px;">
		<TR>
			<TD align="left">
				<p style="color:#000000;font-family:'verdana', Arial, Helvetica, sans-serif !important;font-size: 12px !important;padding-bottom:15px;">	
				<b>Complete the form below and we will reply within 24 hours.</b><br>
			{if $auth_ok != "yes"}
				<a href="{$url_https}p=login&frmpage={$product.pid}&section=raq"> <span style="color:blue">LOGIN</span></a>
				or <a href="{$url_https}p=login&frmpage={$product.pid}&section=raq"><span style="color:blue"> Create Account </span></a>to avoid filling out this form, Save Searches, Receive New Product and Price Drop Alerts.</p>
			{/if}
				{if count($errmsg) > 0}
				<font style="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">
					
					<input type="hidden" id="formaction" name="formaction" value="post" />
					<input type="hidden" name="pid" id="pid" value="{$product.pid}" />
					<input type="hidden" name="raq-uid" id="raq-uid" value="{$userdata.uid}" />
						<TR>
							<TD align="left" class="pk1" colspan="2">
								<span  style="color:red;">*</span> - required field 
							</TD>
						</TR>
						<TR>
							<TD class="pk1" align="right">
								<span  style="color:red;">*</span>
								{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="right">
								<span  style="color:red;">*</span>
								{if $errmsg.fname != ''}
									<font color=red>First Name:</font>
								{else}
									<font class="msg-notice"><b>First Name:</b></font>
								{/if}
							</TD>
							<TD align="left">
								<INPUT type="text" name="fname" id="fname" size="25" class="formTextbox" value="{$userdata.fname|htmlspecialchars}" 
									style="width:150px;"
								>
							</TD>
						</TR>
						<TR>
							<TD class="pk1" align="right">
								<FONT color="red">*</FONT>
								{if $errmsg.lname != ''}
									<font color=red>Last Name:</font>
								{else}
									<font class="msg-notice"><b>Last Name:</b></font>
								{/if}
							</TD>
							<TD align="left">
								<INPUT type="text" name="lname" id="lname" size="25" class="formTextbox" value="{$userdata.lname|htmlspecialchars}" 
									style="width:150px;"
								>
							</TD>
						</TR>
						<TR>
							<TD class="pk1" align="right">
								<FONT color="red">*</FONT>
								{if $errmsg.email != ''}
									<font color=red>Email:</font>
								{else}
									<font class="msg-notice" align="top"><b>Email:</b></font>
								{/if}
							</TD>
							<TD align="left">	
								<INPUT type="text" name="email" id="email" size="20" class="formTextbox" value="{$userdata.email|htmlspecialchars}" style="width:150px;">
								
							</TD>
						</TR>

						<TR>
							<TD class="pk1" align="right">				
								<FONT color="red">*</FONT>
								{if $errmsg.phone != ''}
									<font color=red>Phone:</font>
								{else}
									<font class="msg-notice"><b>Phone:</b></font>
								{/if}
							</TD>
							<TD align="left">	
								<INPUT type="text" name="phone" id="phone" size="20" class="formTextbox" value="{$userdata.phone|htmlspecialchars}"
									style="width:150px;">
							</TD>
						</TR>
						<TR>
							<TD class="pk1" align="right">								
									<font class="msg-notice"><b>Address 1:</b></font>
							</TD>
							<TD align="left">	
								
								<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="right">								
									<font class="msg-notice"><b>Address 2:</b></font>
							</TD>
							<TD align="left">	
								
								<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="right">
								{if $errmsg.city != ''}
									<font color=red>City/Town:</font>
								{else}
									<font class="msg-notice"><b>City/Town:</b></font>
								{/if}
							</TD>
							<TD align="left">	
								<INPUT type="text" name="city" id="city" class="formTextbox" value="{$userdata.city|htmlspecialchars}" style="width:150px;">
                             </TD>
						</TR>
                       <tr>
							<TD class="pk1" align="right">
								<FONT color="red">*</FONT>								
								{if $errmsg.country != ''}
									<font color=red>Country:</font>
								{else}
									<font class="msg-notice"><b>Country:</b></font>
								{/if}
							</TD>							
							<td>
								<div id="billing_country_quote" class="field required clearfix">			
									<select style="margin-left: 0px;float:left;width: 155px;" id="billing_country_select" name="OfficeCountry93259">
									</select>
								</div>
							</td>
						</tr>
	
			<tr>
				<td align="right">
					<label style="color: black;font-weight: bold;" for="billing_state_select">{$msg.billing.state_province} / Territory</label>
				</td>
				<td>
					<div id="billing_state_quote" id="div_billing_address_state">
					<select style="margin-left: 0px;float:left;width: 155px;" id="billing_state_select_quote" name="OfficeState93262"></select></div>
					<div id="billing_province_quote" class="field required invisible clearfix" id="div_billing_address_province">
					<input style="margin-left: 0px;float:left;width: 150px;" id="billing_province_input" maxlength="24" type="text" name="form[province]"/>
					</div>
				</td>
			</tr>					
					
								
								
							</TD>
						</TR>

						
						<TR>
							<TD class="pk1" align="right">
								{if $errmsg.zip != ''}
									<font color=red>Zip/Postal Code:</font>
								{else}
									<font class="msg-notice"><b>Zip/Postal Code:</b></font>
								{/if}
							</TD>
							<TD align="left">	
								<INPUT type="text" name="zip" id="zip" size="7" maxlength="10" class="formTextbox" value="{$userdata.zip|htmlspecialchars}" style="width:150px;">
							</TD>
						</TR>
						<TR>
							<TD class="pk1" align="right" valign="top" width="207px">
								<font class="msg-notice"><b>Comments or Questions:</b></font>
							</TD>
							<TD align="left">	
								<TEXTAREA name="description" id="description" rows="7" cols="20" style="height:95px;width:220px;">{$form.description|htmlspecialchars}</TEXTAREA>
							</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="Reset" class="formButton" ID="Button1">
							</TD>
						</TR>
						
					</TD>
						</TR></table>
						
												
						<table>
				</TABLE>
			</TD>
		</TR>
	</TABLE>
</form>	
</div>


<div id="output1" style="visibility:hidden;display:none;"></div>








			
{* ------------------------------------------------ *}						
			</td></tr>
		</table>
		</td></tr>
{*<td bgcolor="#FFFFFF">&nbsp;</td>*}

</table>

		
	</div>
</div>
</div>
{/if}