{config_load file="$language/lang_$language.conf" section="create_account"}
{config_load file="$language/lang_$language.conf" section="newsletter"}
{config_load file="$language/lang_$language.conf" section="contact_us"}
<h1>{$CONTACT_HEADING}</h1>
{$CONTACT_CONTENT}<br /><br />
{if $error_message}<div class="errormessage">{$error_message}</div>{/if}
{if $success != '1'}
{$FORM_ACTION}
<div class="highlightbox">
  <table width="100%" border="0" cellspacing="0" cellpadding="4">
    <tr>
      <td width="41%">{#text_name#}</td>
      <td width="59%">{$INPUT_NAME}</td>
    </tr>
    <tr>
      <td>{#text_email#}*</td>
      <td width="59%">{$INPUT_EMAIL}</td>
    </tr>
    <tr>
      <td>{#text_phone#}</td>
      <td width="59%">{$INPUT_PHONE}</td>
    </tr>
    <tr>
      <td>{#text_fax#}</td>
      <td width="59%">{$INPUT_FAX}</td>
    </tr>
    <tr>
      <td>{#text_street#}</td>
      <td width="59%">{$INPUT_STREET}</td>
    </tr>
    <tr>
      <td>{#text_postcode#}</td>
      <td width="59%">{$INPUT_POSTCODE}</td>
    </tr>
    <tr>
      <td>{#text_city#}</td>
      <td width="59%">{$INPUT_CITY}</td>
    </tr>
    <tr>
      <td>{#text_company#}</td>
      <td width="59%">{$INPUT_COMPANY}</td>
    </tr>
    {if $VVIMG}
      <tr class="vvcode_img">
        <td>{#text_sec_code#}</td>
        <td>{$VVIMG}</td>
      </tr>
    {/if}
    {if $INPUT_CODE}
      <tr class="vvcode_sec">
        <td>{#text_inp_code#}</td>
        <td width="59%">{$INPUT_CODE}<span class="inputRequirement">*</span></td>
      </tr>
    {/if}
    <tr>
      <td valign="top">{#text_message#}</td>
      <td width="59%">{$INPUT_TEXT}<span class="inputRequirement_textarea">*</span></td>
    </tr>
    <tr>
      <td valign="top">&nbsp;</td>
      <td width="59%">{$BUTTON_SUBMIT}</td>
    </tr>
    <tr>
      <th>{#text_hint#}</th>
    </tr>
  </table>
  {if "SIGN_CONDITIONS_ON_CHECKOUT"|defined}
    <table width="100%" border="0" cellspacing="0" cellpadding="4">
      <tr>
        {if $PRIVACY_CHECKBOX}<td>{$PRIVACY_CHECKBOX}</td>{/if}
        <td width="100%"><strong>{#text_privacy_accept#|sprintf:$smarty.const.STORE_OWNER_EMAIL_ADDRESS}</strong> {$PRIVACY_LINK}</td>
      </tr>
    </table>
  {else}
    {if $PRIVACY_CHECKBOX}
    <table width="100%" border="0" cellspacing="0" cellpadding="4">
      <tr>
        <td>{$PRIVACY_CHECKBOX}</td>
        <td width="100%"><strong>{#text_privacy_accept#}</strong> {$PRIVACY_LINK}</td>
      </tr>
    </table>
    {/if}
  {/if}
</div>
{$FORM_END}
{else}
<p>{#text_success#}</p>
<p>{$BUTTON_CONTINUE}</p>
{/if}