Subversion-Projekte lars-tiefland.ci

<script>
$(function()
{
    $('input:submit, input:button, input:reset').button();
});
</script>


<div class="module">
<h1>Produktempfehlung</h1>
<p class="small">Felder, die mit einem * gekennzeichnet sind, sind Pflichtfelder.</p>
<form action="" method="post" id="form_empfehlung">
    <input type="hidden" name="item" value="{$item}">
    <div id="message"></div>
    <div id="check" style="display:hidden;"></div>
    <div id="empfehlung" class="small">
    <fieldset>
         
        <legend style="border: 0px;padding-bottom:5px;">Absender:</legend>
        <div style="float:left;width:120px; text-align: left;">Name*:</div>
        <div>
            <input type="text" name="name" id="absender_name">
        </div>
        <div style="clear:both;">&nbsp;</div>
        <div style="float:left;width:120px;">E-Mail*:</div>
        <div>
            <input type="text" name="email" id="absender_email"><br /><br />
        </div>
    </fieldset>
    <fieldset>
        <legend style="padding-bottom:5px;">Empfänger:</legend>
        <div class="empfehlen" style="float:left;width:120px; text-align: left;">Name*:</div>
        <div>
            <input type="text" name="name_e" id="name_e">
        </div>
        <div style="clear:both;">&nbsp;</div>
        <div style="float:left;width:120px;">E-Mail*:</div>
        <div>
            <input type="text" name="email_e" id="email_e">
        </div>
        <div style="clear:both;">&nbsp;</div>
        <div style="float:left;width:120px;">Nachricht:</div>
        <div>
            <textarea rows="5" cols="35" name="text" id="text"></textarea><br /><br />
        </div>
    </fieldset>
    <fieldset>
        <legend style="padding-bottom:5px;">Sicherheitsabfrage</legend>
        <div style="float:left;width:120px;">&nbsp;</div>
        <div>
            <img src="{$img}?{$smarty.now}">
        </div>
        <div style="clear:both;">&nbsp;</div>
        <div style="float:left;width:120px;">Sicherheitscode:</div>
        <div>
            <input type="text" name="code" id="code"><br /><br />
            
        </div>
    </fieldset>
    
    <input style="float: left;" type="button" name="Abschicken" value="Abschicken" onclick="send_email();">
    </div>
</form>
</div>
<div class="break"></div>