1<form method="post" enctype="multipart/form-data" name="problem_report" action="problem.php"> 2<?php Horde_Util::pformInput() ?> 3<input type="hidden" id="actionID" name="actionID" value="cancel_problem_report" /> 4<input type="hidden" name="return_url" value="<?php echo htmlspecialchars(Horde_Util::getFormData('return_url')) ?>" /> 5 6<h1 class="header"><?php echo _("Describe the Problem") ?></h1> 7<table cellspacing="0" width="100%"> 8 <tr> 9 <td class="light rightAlign"><?php echo Horde::label('name', _("Your Name")) ?></td> 10 <td><input type="text" tabindex="1" id="name" name="name" value="<?php echo htmlspecialchars($name) ?>" size="70" /></td> 11 </tr> 12 <tr> 13 <td class="light rightAlign"><?php echo Horde::label('email', _("Your Email Address")) ?></td> 14 <td><input type="text" tabindex="2" id="email" name="email" value="<?php echo htmlspecialchars($email) ?>" size="70" /></td> 15 </tr> 16 <tr> 17 <td class="light rightAlign"><?php echo Horde::label('subject', _("Short Summary")) ?></td> 18 <td><input type="text" tabindex="3" id="subject" name="subject" value="<?php echo htmlspecialchars($subject) ?>" size="70" /></td> 19 </tr> 20<?php if (!empty($GLOBALS['conf']['problems']['attachments'])): ?> 21 <tr> 22 <td class="light rightAlign"><?php echo Horde::label('attachment', _("Attachment")) ?></td> 23 <td><input type="file" tabindex="4" id="attachment" name="attachment" size="60" /></td> 24 </tr> 25<?php endif; ?> 26 <tr> 27 <td colspan="2" class="smallheader"><?php echo Horde::label('message', _("Full Description")) ?></td> 28 </tr> 29 <tr> 30 <td> </td> 31 <td><textarea tabindex="5" id="message" name="message" rows="20" cols="80"><?php echo htmlspecialchars($message) ?></textarea></td> 32 </tr> 33 <tr> 34 <td> </td> 35 <td class="light"> 36 <input id="problem-report" class="horde-default" type="submit" name="formsubmit" value="<?php echo _("Send Problem Report") ?>" /> 37 <input class="horde-cancel" type="submit" name="formsubmit" value="<?php echo _("Cancel Problem Report") ?>" /> 38 </td> 39 </tr> 40</table> 41</form> 42