{load_language_text section="withdrawal"} {if $content_data.success}

{$txt.withdrawal}{if $content_data.order->info.date_purchased} ({$txt.your_order_from} {$content_data.order->info.date_purchased|date_format:$smarty.const.DATE_FORMAT_SHORT}){/if}

{include file="get_usermod:{$tpl_path}snippets/alert_message.html" message=$txt.send_withdrawal_success type="success"} {else}

{$txt.withdrawal}{if $content_data.order->info.date_purchased} ({$txt.your_order_from} {$content_data.order->info.date_purchased|date_format:$smarty.const.DATE_FORMAT_SHORT}){/if}

{include file="get_usermod:{$tpl_path}snippets/alert_message.html" message=$txt.webform_info type="info"}

{$txt.to}

{$smarty.const.COMPANY_NAME}
{$smarty.const.TRADER_FIRSTNAME} {$smarty.const.TRADER_NAME}
{$smarty.const.TRADER_STREET} {$smarty.const.TRADER_STREET_NUMBER}
{$smarty.const.TRADER_ZIPCODE} {$smarty.const.TRADER_LOCATION}
{$smarty.const.STORE_COUNTRY_NAME}

{if $smarty.const.TRADER_FAX != ''} {$txt.fax}: {$smarty.const.TRADER_FAX}
{/if} {if $smarty.const.STORE_OWNER_EMAIL_ADDRESS != ''} {$txt.mail}: {$smarty.const.STORE_OWNER_EMAIL_ADDRESS} {/if}

{$txt.withdrawal}
{if $txt.withdrawal_textarea_hint} {$txt.withdrawal_textarea_hint|escape:'html'} {/if} {if $content_data.errors.withdrawal_content} {$txt.input_error} {/if}
{if $content_data.errors.order_date || $content_data.errors.delivery_date}
{$txt.input_error}
{/if}
{$txt.first_last_name}
 
{if $content_data.errors.customer_gender}
  {$txt.input_error}
{/if}
customer.firstname|escape:'html'}{/if}" /> {if $content_data.errors.customer_firstname} {$txt.input_error} {/if}
customer.lastname|escape:'html'}{/if}" /> {if $content_data.errors.customer_lastname} {$txt.input_error} {/if}
{$txt.address}
customer.street_address|escape:'html'}{/if}" /> {if $content_data.errors.customer_street_address} {$txt.input_error} {/if}
customer.postcode|escape:'html'}{/if}" /> {if $content_data.errors.customer_postcode} {$txt.input_error} {/if}
customer.city|escape:'html'}{/if}" /> {if $content_data.errors.customer_city} {$txt.input_error} {/if}
customer.country|escape:'html'}{/if}" />
{$txt.ask_for_email}
customer.email_address|escape:'html'}{/if}" /> {if $content_data.errors.customer_email} {$txt.input_error} {/if}
{$txt.withdrawal_date}
withdrawal_date|date_format:'%d.%m.%Y'}{/if}" /> {if $content_data.errors.withdrawal_date} {$txt.input_error} {/if}
 
{* ADD FAKE INPUT FIELD FOR ANTI SPAM BOT MECHANISM *}

{$txt.mandatory_fields}

{/if}