{header}

<div id="wide" class="box"><div class="bbt"><div class="bbb"><div class="bbl"><div class="bbr"><div class="bbtl"><div class="bbtr"><div class="bbbl"><div class="bbbr">


{menu_help}

<script Language="JavaScript" type="text/javascript">
  var captcha = '';
    <!-- begin_re_captcha_js -->
    var verifyCallback = function(response) {
        captcha = grecaptcha.getResponse(recaptchaWd);
    };
    var onloadCallback = function() {
        recaptchaWd = grecaptcha.render('recaptcha', {
            'sitekey' : '{re_captcha_sitekey}',
            'callback' : verifyCallback,
            'theme' : '{re_captcha_theme}'
        });
    };
    <!-- end_re_captcha_js -->  
    
    function onValidateNMContactUsForm() {
        if (onValidateNMContactUsFormField()) {
            <!-- begin_default_captcha_js -->
            var form = document.forms['NMContactUsForm'];
            captcha = form['captcha'].value;
            <!-- end_default_captcha_js -->
            if ($.trim(captcha)=='') {
                alert('{l_incorrect_captcha}');
                $('#captcha_input').focus();
                return false;
            }
            xajax_check_captcha_mod(captcha,'{l_incorrect_captcha}',0,1,'NMContactUsForm');            
        }
        return false;
    }
    
    
    function onValidateNMContactUsFormField() {
    var form = document.forms['NMContactUsForm'];
    // "contact_name" field validation.
    // "email" field validation.
    if (!validateRequiredField(form['email'], 'Email Address')) {
      removeSubmissionBlock();
      return false;
    }
    // "email" field validation.
    if (!validateMaxLength(form['email'], 'Email Address','100')) {
      removeSubmissionBlock();
      return false;
    }
    // "email" field validation.
    if (!validateEmailField(form['email'], 'Email Address')) {
      removeSubmissionBlock();
      return false;
    }
    // "email" field validation.
    if (!validateRequiredField(form['email'], 'Email Address')) {
      removeSubmissionBlock();
      return false;
    }
    // "comments" field validation.
    if (!validateRequiredField(form['comment'], 'Comments')) {
      removeSubmissionBlock();
      return false;
    }
    return true;
  }

  function validateNMContactUsForm() {
    blockSubmission = true;
     if (typeof beforeNMContactUsFormValidation != 'undefined') {
      beforeNMContactUsFormValidation();
    }
    var validated = onValidateNMContactUsForm();
    if (validated && (typeof uponSuccessfulNMContactUsFormValidation != 'undefined')) {
      validated = uponSuccessfulNMContactUsFormValidation();
    }
    else if (!validated && (typeof uponUnsuccessfulNMContactUsFormValidation != 'undefined')) {
      uponUnsuccessfulNMContactUsFormValidation();
    }
    if (!validated) {
      removeSubmissionBlock();
    }
    return validated;
  }

  function submitNMContactUsForm() {
   if (validateNMContactUsForm()) document.NMContactUsForm.submit();
    }
</script>
<form  name="NMContactUsForm" method="POST" action="{url_main}contact.php" onSubmit="return validateNMContactUsForm();" style="padding: 0px; margin: 0px;">
<input type="hidden" name="cmd" value="send">
<br>
  <div class=header_big>{l_contact_us}</div>
  <div style="margin: 0 0 10px;"><strong>{contact_message}</strong></div>
  <div>{l_enter_inform}</div>
  <div style="margin: 0 0 20px;" >{l_fields} ( <span class="red">*</span> ) {l_are_required}</div>

  <div>
    <table border="0" cellpadding="0" cellspacing="0" width="100%" align="center">
      <td align="right" valign="top" width="20%">{l_email}<span style="color: red;">*</span>:&nbsp;</td>
      <td align="left" valign="top" width="80%"><input type="text" name="email" style="width: 70%;" tabindex="9"></td>
    </tr><tr class="advsview2" style="height: 30px;">
      <td align="right" valign="top" width="20%">{l_username}:&nbsp;&nbsp;</td>
      <td align="left" valign="top" width="80%"><input type="text" name="username" value="{username}" style="width: 70%;" tabindex="10"></td>
    </tr><tr class="advsview1" style="height: 10px0px;">
      <td align="right"  valign="top" width="20%">{l_comments}<span style="color: red;">*</span>:&nbsp;</td>
      <td align="left" valign="top" width="80%" >
        <textarea  name="comment" style="width: 70%; height: 100px; margin-bottom: 6px; vertical-align: top;" tabindex="11" rows="5"></textarea>
      </td>
    </tr>
    
    <tr>
        <!-- begin_default_captcha -->
        <td align="right" valign="top" width="140" style="padding-right:5px; padding-top: 5px;">{l_captcha}<span style="color: red;">*</span>:</td>
        <td style="padding-top: 3px; padding-bottom:10px;">
            <table>
                <tr>
                    <td style="padding-right:10px;">
                        <img id="captcha" src="_server/securimage/securimage_show_custom.php?sid={sid}" />
                    </td>
                    <td>
                        {l_please_enter_the_text}<br /><br />
                        <input id="captcha_input" type="text" name="captcha" style="width:100px; margin-top: 3px;" />
                    </td>
                </tr>
                <tr>
                    <td colspan="2">
                        <a id="captcha_reload" href="#" style="margin-left: 2px;" onclick="document.getElementById('captcha').src = '_server/securimage/securimage_show_custom.php?sid=' + Math.random(); return false">{l_reload}</a>
                    </td>
                </tr>
            </table>
        </td>
        <!-- end_default_captcha -->
        <!-- begin_re_captcha -->
        <td align="right" valign="top" width="140" style="padding-right:5px; padding-top: 5px;">{l_captcha}<span style="color: red;">*</span>:</td>
        <td style="padding-bottom:20px;">
            <div id="recaptcha" style="height: 65px; margin-left: -29px; margin-top: 3px; transform:scale(.9);"></div>
            
        </td>
        <!-- end_re_captcha -->
    </tr>
    
    <tr>
    	<td colspan="2" style="padding-left: 40; padding-right: 150;">
		   	<table border="0" cellpadding="0" cellspacing="0">
					<tr>
						<td width="140">
						</td>
						<td>
						<input type="button" value="{l_submit}" onClick="submitNMContactUsForm();" class="button" style=" padding-left: 5px; padding-right: 5px;cursor: pointer; cursor: hand;" tabindex="13" title="{l_submit}" onMouseOver="window.status='{l_submit}'; return true;" onMouseOut="window.status=''; return true;">
						</td>
					</tr>
    		</table>
    	</td>
	</tr>
    </table>
  </div>

</form>

</div></div></div></div></div></div></div></div></div>
<!-- begin_re_captcha_script -->
<script src="//www.google.com/recaptcha/api.js?onload=onloadCallback&render=explicit&hl={re_captcha_lang}" async defer></script>
<!-- end_re_captcha_script -->
{footer}