<?php

if (!defined('SITE'))
    exit('Access Denied');


$base['data']['left'] = '
    <div style="padding:10px;">
<div class="locationLeftBox">
<div style="padding:3px;">';
$base['data']['left'] .= '' . getLocation();
$base['data']['left'] .= '
</div>
</div>
<p style="color:#FF1700;font-size:30px;">Contact Form</p>
<form id="contactform" method="post" class="formsent" action="email/contactformsave.php">
<p class="clear"><label>Name</label><input type="text" name="name" id="name" class="input"/></p>
<p class="clear"><label>Lastname</label><input type="text" name="lastname" id="lastname" class="input"/></p>
<p class="clear"><label>Mobile</label><input type="text" name="mobile" id="mobile" class="input"/></p>
<p class="clear"><label>E-mail</label><input type="text" name="email" id="email" class="input"/></p>
<p class="clear"><label>Subject</label><input type="text" name="subject" id="subject" class="input"/></p>
<p class="clear"><label>Message</label><textarea name="message" cols="5" rows="2" class="input"></textarea></p>
<br class="clear"/>
<p class="clear"><label>Captcha</label>
<div style="float:right;">
<img src="captcha/captcha.php" style="float:left;"/>
<input type="text" name="captcha" maxlength="4" style="margin:0 15px;height:38px;width:80px;text-align:center;padding:0 10px; background-color:#272727;border:none;color:#FF1700;font-size:20px;float:left;"/>
<input type="submit" name="submit" id="submit" value="Submit" class="bttn" style="height:38px;width:80px;float:left;"/>
</div>
</p>
<p style="text-align:right;padding:8px 0px;clear:both;">

</p>
</form>
</div>
';
$base['data']['center'] = '

';
$base['data']['right'] = '<div style="position:relative;">
    <p style="position:absolute;top:450px;right:0px;">
<a href="downloadmap.php" class="style-plus"/>Download Map >> PDF .file</a>
<br style="clear:both;"/>
<a href="index.php?mod=googlemap" class="style-plus"/>Google Map</a>
</p>' . getLocationImage() . '</div>';

$base['data']['pagenavigatator'] = $base['lang']['page_contactus_location'];
template('2col3377-separate');
?>