{% extends localPath(0) ~ "site.body.tpl" %}
{% block content %}
{% if (flags.link_news) %}
	<b>Запрос по новости :
		<a href="{{ news.url }}">{{ news.title }}</a>
	</b>
	<br/><br/>
{% endif %}
{{ description }}
<br/><br/>
{% if (flags.jcheck) %}
	 <script language="JavaScript">
				var FBF_INIT = {{ FBF_DATA }};
				function FBF_CHECK() {
					var frm = document.getElementById('feedback_form');
					if (frm == null) return true;
					var i;
					for (i in FBF_INIT) {
						if (FBF_INIT[i][1]) {
							if (FBF_INIT[i][0] == 'date') {
								if ((frm[i + ':day'].value == '1') && (frm[i + ':month'].value == '1') && (frm[i + ':year'].value == '1970')) {
									alert('{l_feedback:form.err.notfilled} (' + FBF_INIT[i][2] + ')!');
									frm[i + ':day'].focus();
									return false;
								}
							} else if (frm[i].value == '') {
								alert('{l_feedback:form.err.notfilled} (' + FBF_INIT[i][2] + ')!');
								frm[i].focus();
								return false;
							}
						}
					}
					return true;
				}
			</script>
{% endif %}
<form method="post" action="{{ form_url }}" id="feedback_form" name="feedback_form">
	{{ hidden_fields }}
	<input type="hidden" name="id" value="{{ id }}"/>
	<table border="0" width="100%">
		{% for entry in entries %}
			{% if entry.type == 'text' %}
				<tr>
					<td width="30%">{{ entry.title }}</td>
					<td width="70%"><input type="text" name="{{ entry.name }}" class="input"/></td>
				</tr>
			{% endif %}
			{% if entry.type == 'email' %}
				<tr>
					<td width="30%">{{ entry.title }}</td>
					<td width="70%"><input type="text" name="{{ entry.name }}" class="input"/></td>
				</tr>
			{% endif %}
			{% if entry.type == 'textarea' %}
				<tr>
					<td width="30%">{{ entry.title }}</td>
					<td width="70%">
						<textarea name="{{ entry.name }}" style="width: 380px; height: 160px" class="textarea"/>{{ entry.value }}</td>
				</tr>
			</textarea>
		</td>
	</tr>
{% endif %}
{% if entry.type == 'select' %}
	<tr>
		<td width="30%">{{ entry.title }}</td>
		<td width="70%">
			<select name="{{ entry.name }}">{{ entry.options.select }}</select>
		</td>
	</tr>
{% endif %}
{% if entry.type == 'date' %}
	<tr>
		<td width="30%">{{ entry.title }}</td>
		<td width="70%">
			<select name="{{ entry.name }}:day">{{ entry.options.day }}</select>.<select name="{{ entry.name }}:month">{{ entry.options.month }}</select>.<select name="{{ entry.name }}:year">{{ entry.options.year }}</select>
		</td>
	</tr>
{% endif %}{% endfor %}{% if captcha_widget %}
<tr>
	<td colspan="2">
		<div class="captcha-container">
			{{ captcha_widget|raw }}
		</div>
	</td>
</tr>{% endif %}{% if (flags.recipients) %}
<tr>
	<td width="30%">{{ lang['feedback:sform.elist'] }}</td>
	<td width="70%">
		<select name="recipient">{{ recipients_list }}</select>
	</td>
</tr>{% endif %}</table><div style="height: 10px;"></div><table border="0" width="100%" cellspacing="0" cellpadding="0"><tr align="center">
<td width="100%" valign="top">
	<input {% if (flags.jcheck) %} onclick="return FBF_CHECK();" {% endif %} type="submit" value="{{ lang['feedback:form.request'] }}" class="btn"/>
</td></tr></table></form>{% endblock %}
