<{$smarty.const._ZA_REQUESTFORM}>

<{$smarty.const._ZA_REQUEST_DESC}>
<{$editform.token_hidden}> <{if $editform.err_msg}> <{/if}>
*<{$smarty.const._ZA_NAME}> 
  • <{$smarty.const._ZA_NAME_DESC}>
*<{$smarty.const._ZA_ZIP}> 
  • <{$smarty.const._ZA_ZIP_DESC}>
*<{$smarty.const._ZA_LOCATION}> 
  • <{$smarty.const._ZA_LOCATION_DESC}>
*<{$smarty.const._ZA_PHONE}> 
  • <{$smarty.const._ZA_PHONE_DESC}>
*<{$smarty.const._ZA_EMAIL}> 
  • <{$smarty.const._ZA_EMAIL_DESC}>
*<{$smarty.const._ZA_GENERATION}> 
    <{assign var="selectval" value="/\""|cat:$editform.generation|cat:"\"/"}> <{assign var="selected" value="\""|cat:$editform.generation|cat:"\""|cat:" selected=\"selected\""}>
  • <{if $editform.generation}> <{$selectval|preg_replace:$selected:$smarty.const._ZA_GENERATION_DESC}> <{else}> <{$smarty.const._ZA_GENERATION_DESC}> <{/if}>
<{$smarty.const._ZA_QUESTION1}> 
    <{assign var="selectval" value="/\""|cat:$editform.question1|cat:"\"/"}> <{assign var="selected" value="\""|cat:$editform.question1|cat:"\""|cat:" selected=\"selected\""}>
  • <{if $editform.question1}> <{$selectval|preg_replace:$selected:$smarty.const._ZA_QUESTION1_DESC}> <{else}> <{$smarty.const._ZA_QUESTION1_DESC}> <{/if}>
<{$smarty.const._ZA_QUESTION2}> 
    <{assign var="selectval" value="/\""|cat:$editform.question2|cat:"\"/"}> <{assign var="selected" value="\""|cat:$editform.question2|cat:"\""|cat:" selected=\"selected\""}>
  • <{if $editform.question2}> <{$selectval|preg_replace:$selected:$smarty.const._ZA_QUESTION2_DESC}> <{else}> <{$smarty.const._ZA_QUESTION2_DESC}> <{/if}>
<{$smarty.const._ZA_COMMENTS}> 
  • <{$smarty.const._ZA_COMMENTS_DESC}>
  >
<{if $xoops_isadmin && $fcabix.config.dev_smartydebug}><{debug}><{/if}>