MSV FM

dot.antimicrobial@66.96.161.157: ~ $
Path : /hermes/sb_web/b744/albertamortgagerate.com/
File Upload :
Current < : /hermes/sb_web/b744/albertamortgagerate.com/contact_us.tpl

{include file="common/user_header.tpl"}
{literal} 
<style type="text/css">
<!--
a:link {
	text-decoration: none;
}
a:visited {
	text-decoration: none;
}
a:hover {
	text-decoration: none;
}
a:active {
	text-decoration: none;
}
-->
</style>

{/literal}
<div id="container">
<div class="horizontal"></div>
<div class="clear"></div>
<!--Main-Box-->
<div class="roundedbox">
<div class="box1"></div>
<div class="box2">
  <table width="100%" border="0" cellspacing="0" cellpadding="3">
    <tr>
      <td align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td class="f-1">Contact Us</td>
        </tr>
          {if $succ =='sent'}
            <tr>
              <td  align="center" height="10" colspan="2">
                
                  <div  style="font-family:Arial, Helvetica, sans-serif;font-size:16px;line-height:21px; color:#339933;"><strong>Your Information sent to admin successfully. He will contact you shortly</strong></div>
               </td>
            </tr>
           {/if}
        <tr>
          <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
              <td width="60%"><table width="62%" border="0" cellspacing="4" cellpadding="0">
                <tr>
                  <td><img src="admin/cms/{$list_records.pic_image}" width="559" height="340" class="ima-border" /></td>
                </tr>
                <tr>
                  <td><table width="100%" border="0" cellspacing="4" cellpadding="0">
                    <tr>
                      <td class="f-1">&nbsp;<!--{$list_records.page_title}--></td>
                    </tr>
                    <tr>
                      <td>{$list_records.page_content|stripslashes}</td>
                    </tr>
                  </table></td>
                </tr>
              </table></td>
              <td width="40%" align="left" valign="top"><table width="97%" border="0" cellspacing="6" cellpadding="0">
                <tr>
                  <td class="f-4">{$list_records2.page_content}</td>
                </tr>
                <tr>
                  <td><form id="contact_form" name="contact_form" method="post" action="" onSubmit="retrun">
                  <table width="100%" border="0" cellspacing="0" cellpadding="5">
                    <tr>
                      <td align="left" valign="top">
                  
                        <input name="ur_name" type="text" class="ima-b-1" id="ur_name" placeholder="Name" />
                    
                      </td>
                    </tr>
                    <tr>
                      <td align="left" valign="top">
                       
                        <input name="ur_email" type="text" class="ima-b-1" id="ur_email" placeholder="Email" />
                     </td>
                    </tr>
                    <tr>
                      <td align="left" valign="top">
                        
                        <input name="subject" type="text" class="ima-b-1" id="subject" placeholder="Subject:" />
                      </td>
                    </tr>
                    <tr>
                      <td align="left" valign="top">
                        
                        <textarea name="commends" cols="45" rows="5" class="ima-b-2" id="commends" placeholder="Your Message..."></textarea>
                      
                      </td>
                    </tr>
                    <tr>
                      <td align="right"><table width="40%" border="0" cellspacing="0" cellpadding="0">
                        <tr>
                          <td align="center" valign="middle"><input type="submit" class="send" value="Send" name="submit" id="submit" /></td>
                        </tr>
                      </table></td>
                    </tr>
                  </table></form></td>
                </tr>
                <tr>
                  <td><table width="100%" border="0" cellspacing="6" cellpadding="0">
                    <tr>
                      <td class="f-111"><a href="http://www.mapquest.com/directions?2a=1033%20Newbirth%20Ln&2c=East%20Bend&2s=NC&2z=27018&2l=36.2153&2g=-80.46823&2v=ADDRESS&2y=US&maptype=map&icid=embed_getDir" target="_blank">Click here for directions to New Birth Worship Center</a></td>
                    </tr>
                    <tr>
                      <td align="left"><iframe style="height: 250px; width: 350px;" src="http://www.mapquest.com/embed?hk=14gLXqz" marginwidth="0" marginheight="0" frameborder="0" scrolling="no"></iframe></td>
                    </tr>
                  </table></td>
                </tr>
              </table></td>
            </tr>
          </table></td>
        </tr>
      </table></td>
    </tr>
  </table>
</div>
<div class="box3"></div>
</div>
<!--end-->
<div class="clear"></div>

{include file="common/user_footer.tpl"}
{literal}
<script type="text/javascript" src="admin/js/jquery.validate.js"></script>
<script type="text/javascript">
var err = jQuery.noConflict();
err(document).ready(function() {
	err("#contact_form").validate({
		rules: {
			ur_name: {
				required: true
			},		
			ur_email: {
				required: true,
				email: true
			
			},
				subject: {
				required: true
				
			
			},
			commends:{
			required: true
			}
							
		},	
		messages: {
			ur_name: {
				required: '<br><span style="font-size:12px; color:#FF0000">Please Enter Your Name!</span>'
			},		
			ur_email: {
				required: '<br><span style="font-size:12px; color:#FF0000">Please Enter Email Address!</span>',
				email: '<br><span style="font-size:12px; color:#FF0000"">Please Enter Valid Email Address</span>'
			},
			subject: {
				required: '<br><span style="font-size:12px; color:#FF0000">Please Enter Your Subject!</span>'
			},
			commends: {
				required: '<br><span style="font-size:12px; color:#FF0000">Please Enter Comments!</span>'
				
			}
		}
	});

		

					
});
</script>




{/literal}