{literal}
<SCRIPT LANGUAGE="JavaScript">
<!--
function form1_onsubmit()
{
{/literal}
	{$checkList}
{literal}
}
//-->
</SCRIPT>
{/literal}

<BR>
<table width="96%" border="1" align="center" cellpadding="2" cellspacing="0" bordercolorlight="#555576" bordercolordark="#cccccc" bgcolor="#DFDFDF">
	<form name="form1" method="post" action="{$SystemURL}/Module/GuestBook/GuestBook.php?ToDo=MakeHTM&Domain={$Domain}&Client=Send">
    <tr bgcolor="#8080A6"> 
        <td colspan="2">
<table width="100%" border="0" cellspacing="0" cellpadding="2">
            <tr>
              <td width="56%"><font color="#FFFFFF">Sign the Guestbook:</font> </td>
              <td width="44%"> <font color="#FFFFFF"><a href="{$GuestBookList}">Back to Guestbook</a></font></td>
            </tr>
          </table></td>
    </tr>
    <tr> 
      <td width="27%">Name*:</td>
      <td width="73%"><input name="Name" type="text" id="Name"></td>
    </tr>
    <tr> 
      <td>E-mail:</td>
      <td><input name="Email" type="text" id="Email"></td>
    </tr>
    <tr> 
      <td>Homepage:</td>
      <td><input name="Homepage" type="text" id="Homepage"></td>
    </tr>
    <tr> 
      <td> Phone:</td>
      <td><input name="Phone" type="text" id="Phone"></td>
    </tr>
    <tr> 
      <td>Qq:</td>
      <td><input name="Qq" type="text" id="Qq"></td>
    </tr>
    <tr> 
      <td>Gender:</td>
      <td><input name="Sex" type="radio" value="M" checked>
        Male 
          <input type="radio" name="Sex" value="W">
        Female</td>
    </tr>
    <tr> 
      <td>Picture:</td>
      <td>
	  <select name="Pic" id="Pic" onchange="document.form1.ico.src='{$CurrentUserPath}/gbimages/avatars/'+this.value+''">
	 {html_options options=$custPic selected=$custPic_id}
      </select>
		  <IMG name="ico" src="{$CurrentUserPath}/gbimages/avatars/000.gif" BORDER=0>
		  </td>
    </tr>
    <tr> 
      <td valign="top">Your Message*: </td>
      <td><textarea name="Message" cols="40" rows="8" id="Message"></textarea></td>
    </tr>
    <tr> 
      <td>&nbsp;</td>
      <td>
	<INPUT TYPE="hidden" name="VersionID" value="{$LangID}"> 
    <INPUT TYPE="hidden" name="ChannelID" value="{$CHLID}"> 
	<INPUT TYPE="hidden" name="ItemID" value="{$ITMID}"> 
	<INPUT TYPE="hidden" name="SiteID" value="{$SiteID}"> 
	<INPUT TYPE="hidden" name="Action" value="{$ActionSubmit}">
	<input type="submit" name="Submit" value="Ìá½»"> 
	<input type="reset" name="Submit2" value="ÖØÖÃ"></td>
    </tr>
	</form>
  </table>
<BR>