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<html xmlns="http://www.w3.org/1999/xhtml">
<head>


<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Callback</title>
<style type="text/css" media="screen">
	@import "../assets/ragdale-pop-styles.css";
</style>

<SCRIPT SRC="../_scripts/qforms.js"></SCRIPT>
	<SCRIPT LANGUAGE="JavaScript">
	<!--//
	// set the path to the qForms directory
	qFormAPI.setLibraryPath("../_scripts/");
	// this loads all the default libraries
	qFormAPI.include("*");
	
	qFormAPI.include("validation");
qFormAPI.include("functions", null, "12");
	//-->
	</SCRIPT>
	
	
</head>

<body>
<div id="wrapper">
<div id="mainBody">
<h1>CALL BACK REQUEST</h1>
Thank you for requesting us to call you.  <br />
Please fill in your details below and we will call you back as soon as we are able.
<p>Please note our opening hours are 9.00am-8.00pm Monday to Friday<br /> 
and 9.00am-5.30pm Saturday and Sunday.</p>
<form id="form1" name="form1" method="post" action="callback_process.cfm">
<table width="400" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="160" valign="middle"><strong>Name</strong></td>
<td width="240" valign="middle">
<input type="text" name="name" id="name" /></td>
</tr>
<tr>
<td width="160" valign="middle"><strong>Telephone Number 1:</strong></td>
<td width="240" valign="middle"><input type="text" name="phone1" id="phone1" /></td>
</tr>
<tr>
<td width="160" valign="middle"><strong>Telephone Number 2:</strong></td>
<td width="240" valign="middle"><input type="text" name="phone2" id="phone2" /></td>
</tr>
<tr>
<td width="160" valign="middle"><strong>Email Address:</strong></td>
<td width="240" valign="middle"><input type="text" name="email" id="email"/></td>
</tr>
</table>

<input name="SEND" type="submit" class="button" id="SEND" value="SEND" />
</form>

<SCRIPT LANGUAGE="JavaScript">
<!--//
// initialize the qForm object
objForm = new qForm("form1");

// set error colour
qFormAPI.errorColor = "#FF9B9B";

// make these fields required
objForm.required("name, phone1");

objForm.name.description = "Name";
objForm.phone1.description = "Telephone Number 1";


//-->
</SCRIPT>


</div>
</div>
</body>
</html>
