{load_language_text section="withdrawal"} {block name="withdrawal_web_form"} {if $content_data.success} {block name="withdrawal_web_form_success"}

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

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

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

{/block} {block name="withdrawal_web_form_alert"} {include file="get_usermod:{$tpl_path}alert_message.html" message=$txt.webform_info type="info"} {/block} {block name="withdrawal_web_form_trader"}

### {$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}

{/block} {block name="withdrawal_web_form_order"}
{block name="withdrawal_web_form_order_title"} {$txt.withdrawal} {/block} {block name="withdrawal_web_form_order_withdrawal"}
{block name="withdrawal_web_form_order_withdrawal_label"} {$txt.withdrawal} {/block} {block name="withdrawal_web_form_order_withdrawal_container"}
{block name="withdrawal_web_form_order_withdrawal_input"} {* keep this code aligned to the left *}{if $smarty.post.withdrawal_data.withdrawal_content}{$smarty.post.withdrawal_data.withdrawal_content|replace:'\"':'"'|replace:"\'":"'"|escape:'html'}{else}{$txt.withdrawal_textarea_default|escape:'html'} {if $content_data.order}{foreach from=$content_data.order->products item=product} {$product.qty} x {$product.name|escape:'html'} {if $product.model}({$product.model|escape:'html'}){/if}{foreach from=$product.attributes item=attribute} {if $attribute.option != ''} / {$attribute.option|escape:'html'}: {$attribute.value|escape:'html'}{/if}{/foreach}{foreach from=$product.properties item=property}{if $property.properties_name != '' } / {$property.properties_name|escape:'html'}: {$property.values_name|escape:'html'}{/if}{/foreach}{/foreach}{/if}{/if} {* keep this code aligned to the left *} {/block} {if $txt.withdrawal_textarea_hint} {block name="withdrawal_web_form_order_withdrawal_hint"} {$txt.withdrawal_textarea_hint|escape:'html'} {/block} {/if} {if $content_data.errors.withdrawal_content} {block name="withdrawal_web_form_order_withdrawal_error"} {$txt.input_error} {/block} {/if}
{/block}
{/block} {block name="withdrawal_web_form_order_order_get_on"}
{block name="withdrawal_web_form_order_order"}
{block name="withdrawal_web_form_order_order_label"} {$txt.order} {/block} {block name="withdrawal_web_form_order_order_input"} {/block}
{/block} {block name="withdrawal_web_form_order_get_on"}
{block name="withdrawal_web_form_order_get_on_label"} {$txt.get_on} {/block} {block name="withdrawal_web_form_order_get_on_input"} {/block}
{/block} {block name="withdrawal_web_form_order_order_get_on_date"}
{/block} {if $content_data.errors.order_date || $content_data.errors.delivery_date} {block name="withdrawal_web_form_order_order_get_on_error"}
{$txt.input_error}
{/block} {/if}
{/block}
{/block} {block name="withdrawal_web_form_personal"}
{block name="withdrawal_web_form_personal_legend"} {$txt.first_last_name} {/block} {block name="withdrawal_web_form_personal_gender"}
{block name="withdrawal_web_form_personal_gender_label"} {$txt.salutation} {/block} {block name="withdrawal_web_form_personal_gender_container"}
{block name="withdrawal_web_form_personal_gender_m_span"} {block name="withdrawal_web_form_personal_gender_m_label"} {block name="withdrawal_web_form_personal_gender_m_input"} customer.gender =='m' || $smarty.post.withdrawal_data.customer_gender == 'm'} checked="checked"{/if} /> {$txt.male} {/block} {/block} {/block} {block name="withdrawal_web_form_personal_gender_f_span"} {block name="withdrawal_web_form_personal_gender_f_label"} {block name="withdrawal_web_form_personal_gender_f_input"} customer.gender =='f' || $smarty.post.withdrawal_data.customer_gender =='f'} checked="checked"{/if} /> {$txt.female} {/block} {/block} {/block} {block name="withdrawal_web_form_personal_gender_o_span"} {block name="withdrawal_web_form_personal_gender_o_label"} {block name="withdrawal_web_form_personal_gender_o_input"} customer.gender =='o' || $smarty.post.withdrawal_data.customer_gender =='o'} checked="checked"{/if} /> {$txt.other} {/block} {/block} {/block}
{/block} {if $content_data.errors.customer_gender} {block name="withdrawal_web_form_personal_gender_error"}
{$txt.input_error}
{/block} {/if}
{/block} {block name="withdrawal_web_form_personal_firstname"}
{block name="withdrawal_web_form_personal_firstname_label"} {$txt.firstname} {/block} {block name="withdrawal_web_form_personal_firstname_container"}
{block name="withdrawal_web_form_personal_firstname_input"} customer.firstname|escape:'html'}{/if}" /> {/block}
{/block}
{/block} {block name="withdrawal_web_form_personal_lastname"}
{block name="withdrawal_web_form_personal_lastname_label"} {$txt.lastname} {/block} {block name="withdrawal_web_form_personal_lastname_container"}
{block name="withdrawal_web_form_personal_lastname_input"} customer.lastname|escape:'html'}{/if}" /> {/block}
{/block}
{/block}
{/block} {block name="withdrawal_web_form_address"}
{block name="withdrawal_web_form_address_legend"} {$txt.address} {/block} {block name="withdrawal_web_form_address_street"}
{block name="withdrawal_web_form_address_street_label"} {$txt.street_and_number} {/block} {block name="withdrawal_web_form_address_street_container"}
{block name="withdrawal_web_form_address_street_input"} customer.street_address|escape:'html'}{/if} {if !empty($content_data.order->customer.house_number)}{$content_data.order->customer.house_number|escape:'html'}{/if}" /> {/block} {if $content_data.errors.customer_street_address} {block name="withdrawal_web_form_address_street_error"} {$txt.input_error} {/block} {/if}
{/block}
{/block} {block name="withdrawal_web_form_address_postcode_city"}
{block name="withdrawal_web_form_address_postcode_city_label"} {$txt.zipcode} / {$txt.city} {/block} {block name="withdrawal_web_form_address_postcode_container"}
{block name="withdrawal_web_form_address_postcode_input"} customer.postcode|escape:'html'}{/if}" /> {/block} {if $content_data.errors.customer_postcode} {block name="withdrawal_web_form_address_postcode_error"} {$txt.input_error} {/block} {/if}
{/block} {block name="withdrawal_web_form_address_city_container"}
{block name="withdrawal_web_form_address_city_input"} customer.city|escape:'html'}{/if}" /> {/block} {if $content_data.errors.customer_city} {block name="withdrawal_web_form_address_city_error"} {$txt.input_error} {/block} {/if}
{/block}
{/block} {block name="withdrawal_web_form_address_country"}
{block name="withdrawal_web_form_address_country_label"} {$txt.country} {/block} {block name="withdrawal_web_form_address_country_container"}
{block name="withdrawal_web_form_address_country_input"} customer.country|escape:'html'}{/if}" /> {/block}
{/block}
{/block}
{/block} {block name="withdrawal_web_form_email"}
{block name="withdrawal_web_form_email_legend"} {$txt.ask_for_email} {/block} {block name="withdrawal_web_form_email_email"}
{block name="withdrawal_web_form_email_email_label"} {$txt.your_email} {/block} {block name="withdrawal_web_form_email_email_container"}
{block name="withdrawal_web_form_email_email_input"} customer.email_address|escape:'html'}{/if}" /> {/block} {if $content_data.errors.customer_email} {block name="withdrawal_web_form_email_email_error"} {$txt.input_error} {/block} {/if}
{/block}
{/block}
{/block} {block name="withdrawal_web_form_withdrawal"}
{block name="withdrawal_web_form_withdrawal_legend"} {$txt.withdrawal_date} {/block} {block name="withdrawal_web_form_withdrawal_date"}
{block name="withdrawal_web_form_withdrawal_date_label"} {$txt.withdrawal_date} {/block} {block name="withdrawal_web_form_withdrawal_date_container"}
{block name="withdrawal_web_form_withdrawal_date_input"} {/block} {if $content_data.errors.withdrawal_date} {block name="withdrawal_web_form_withdrawal_date_error"} {$txt.input_error} {/block} {/if}
{/block}
{/block}
{/block} {block name="withdrawal_web_form_privacy_if"} {if $content_data.show_privacy} {block name="withdrawal_web_form_privacy"} {block name="withdrawal_web_form_privacy_legend"} {$txt.title_privacy} {/block} {if $content_data.show_privacy_checkbox} {block name="withdrawal_web_form_privacy_checkbox"} {$content_data.privacy_link} {/block} {else} {block name="withdrawal_web_form_privacy_link"} {$content_data.privacy_link} {/block} {/if} {if $content_data.errors.privacy_accepted} {block name="withdrawal_web_form_withdrawal_privacy_error"} {$txt.privacy_error} {/block} {/if} {/block} {/if} {/block} {block name="withdrawal_web_form_buttons"}
{block name="withdrawal_web_form_buttons_empty"} {/block}
{* ADD FAKE INPUT FIELD FOR ANTI SPAM BOT MECHANISM *} {block name="withdrawal_web_form_buttons_submit"}
{/block}
{/block} {block name="withdrawal_web_form_mandatory"}

{$txt.mandatory_fields}

{/block} {/block} {/if} {/block}