<? 
//include("../inc/sessionstart.php"); 
//include("../inc/check_admin.php"); 
include("inc/connect.php"); 
include("inc/functions.php"); 
include("inc/mailfunction.php");
include("classes/cls_savedata.php");

/*
	$Action = $_GET['Action'];
	if($Action != ''){
		if($Action){
		}
	} else {
		$Action = 0;
	}
*/

$cls = new SaveData;
$cls->table = "publicdata";
$cls->fieldsdname = array("fname" ,"sname" ,"title" ,"address1" ,"address2" ,"city" ,"country" ,"postcode" ,"homephone" ,"workphone" ,"mobilephone" ,"faxnumber" ,"email1" ,"email2" ,"website" ,"advertising" ,"aeronautical" ,"agriculture" ,"agriculture_horticulture" ,"architecture_building" ,"art" ,"arts_literature" ,"astronomy_cosmology" ,"automotive" ,"banking_finance" ,"biochemistry" ,"biology" ,"business" ,"chemical_engineering" ,"civil_engineering" ,"computers_data" ,"cosmetics_perfumes" ,"crafts" ,"defence" ,"economics" ,"electrical_engineering" ,"electronics" ,"engineering" ,"environment" ,"eu_matters" ,"food_drink" ,"geography_geology" ,"general" ,"humanities" ,"information_technology" ,"insurance" ,"law" ,"leisure" ,"literature" ,"management" ,"manufacturing_processes" ,"marine_engineering" ,"marketing" ,"mathematics" ,"maths_statistics" ,"mechanical_engineering" ,"medicine" ,"medicine_pharmaceuticals" ,"mining" ,"music" ,"nautical_sailing" ,"nuclear_engineering" ,"oil_gasindustry" ,"patents" ,"pharmaceuticals" ,"physics" ,  "plastics_polymersmaterials" ,"politics" ,"public_relations" ,  "telecommunications" ,  "textile_technology" ,  "textiles_clothing" ,  "transport" ,  "otherspecify" ,  "qualifications" ,  "specialist_software" ,  "mother_tongue" ,  "source_language1" ,  "source_language2" ,  "source_language3" ,  "target_language1" ,  "target_language2" ,  "target_language3" ,  "currency1" ,  "currency2" ,  "currency3" ,  "translation_rate" ,  "proofreading_rate" ,  "interpreting_rate" ,  "minimum_charge" ,  "transcription" ,  "voice_over" ,  "translation_source" ,  "translation_target" ,  "proofreading_source" ,  "proofreading_target" ,  "Interpreting_hour" ,  "interpreting_day" ,  "transcription_hour" ,  "transcription_target" ,  "voice_over_hour" ,  "voice_over_session" ,  "additional_comments" ,  "day" ,  "month" ,  "year" );
$cls->inputnames = array("realname", "surname",  "title" , "address1" , "address2" , "city" , "county" , "postcode" , "homephone" , "workphone" , "mobilephone" , "faxnumber" , "email1" , "email2" , "website" , "advertising" , "aeronautical" , "agriculture" , "agriculture_horticulture" , "architecture_building" , "art" , "arts_literature" , "astronomy_cosmology" , "automotive" , "banking_finance" , "biochemistry" , "biology" , "business" , "chemical_engineering" , "civil_engineering" , "computers_data" , "cosmetics_perfumes" , "crafts" , "defence" , "economics" , "electrical_engineering" , "electronics" , "engineering" , "environment" , "eu_matters" , "food_drink" , "geography_geology" , "general" , "humanities" , "information_technology" , "insurance" ,  "law" , "leisure" , "literature" , "management" , "manufacturing_processes" , "marine_engineering" , "marketing" , "mathematics" , "maths_statistics" , "mechanical_engineering" , "medicine" , "medicine_pharmaceuticals" , "mining" , "music" , "nautical_sailing" , "nuclear_engineering","oil_gasindustry" , "patents" , "pharmaceuticals" , "physics" , "plastics_polymersmaterials" , "politics" , "public_relations" , "telecommunications" , "textile_technology" , "textiles_clothing" , "transport" , "other_specify","qualifications" , "specialist_software" , "mother_tongue" , "source_language1" , "source_language2" , "source_language3" , "target_language1" , "target_language2" , "target_language3" , "currency1" , "currency2" , "currency3" , "translation_rate" , "proofreading_rate" , "interpreting_rate" , "minimum_charge" , "transcription" , "voice_over" , "translation_source" , "translation_target" , "proofreading_source" , "proofreading_target" , "Interpreting_hour" , "interpreting_day" , "transcription_hour" , "transcription_target" , "voice_over_hour" ,  "voice_over_session" , "additional_comments" , "day" , "month" , "year" );
$cls->where = " where recordid = ".$_GET['recordid'];
$cls->insertcheckquery = "select recordid from publicdata where email1 = '".$_POST['email1']."' limit 0,1";
$cls->updatecheckquery= "select recordid from publicdata where email1 = '".$_POST['email1']."' and recordid <> ".$_GET['recordid']." limit 0,1";
$Action = $cls->Save($Action);
if($Action == -1){
	$ErrorFound = $_POST['email1']." Already Exist";
	$Action = 1;
} else if($Action == -2){
	$ErrorFound = $_POST['email1']." Already Exist";
	$Action = 2;
}

?>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>

<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Welcome to Atlantic Translations</title>
<style type="text/css">
<!--
.style1 {
	font-family: Arial, Helvetica, sans-serif;
	font-size: 10;
}
.style2 {font-family: Arial, Helvetica, sans-serif}
.style7 {font-family: Arial, Helvetica, sans-serif; font-weight: bold; }
-->
</style>
  <style type="text/css">
<!--
.style1 {
	font-family: Arial, Helvetica, sans-serif;
	font-size: 12px;
}
.style9 {font-size: small}
.style10 {	font-family: Arial, Helvetica, sans-serif;
	font-size: 10;
}
.style10 {	font-family: Arial, Helvetica, sans-serif;
	font-size: 12px;
}
-->


  </style>
<script src="js/trim.js"></script>
<script src="js/validations.js"></script>
 <script>
 	function validatedata(){
		var frm = document.form1;
		
		if(isRequired(frm.realname,'Enter The First Name') == false) return false;
		if(isRequired(frm.address1,'Enter The Address') == false) return false;
		if(isRequired(frm.city,'Enter The City') == false) return false;
		if(isRequired(frm.county,'Enter The Country') == false) return false;
		if(isRequired(frm.postcode,'Enter The Post Code') == false) return false;

		if(isRequired(frm.email1,'Enter The Email Address') == false) return false;
		if(isEmail(frm.email1) == false) return false;
		if(isRequired(frm.email2,'') != false){
			if(isEmail(frm.email2) == false) return false;
		}
	}//End Of fuunction
 </script>
</head>

<BODY>
<?  if($Action != 1){ ?>
				  <p class="style1 ">
				<form action="index.php?Action=<?=$Action;?>" name="form1" onsubmit="return validatedata()" method="post">
<p class="style1 ">
				  <input type="hidden" name="recipient" value="info@daneswood.co.uk">
				  <input type="hidden" name="subject" value="Atlantic Translation web form content">
				  <input type="hidden" name="redirect" value="http://www.daneswood.com/atlantictranslations/ty.html">
  <br />
				  <img src="images/logo.gif" alt="atlantic translations" width="623" height="42" />
<table>
					 <tr><td class="style1" width="340">First name: <td class="style1">Home Phone
  <tr><td> <input type="text" size=40 name="realname">
					 
								<td><input name="homephone" type="text" id="homephone" size=43>
  <tr><td class="style1"> Surname:
								  <td class="style1">Work Phone </td>
  <tr><td><input type="text" size=40 name="surname" />
				
				<td><input name="workphone" type="text" id="workphone" size=43>
						
  <tr><td class="style1">
				Title
				  <td class="style1">Mobile Phone</td>
  <tr><td><select name="title" size="1" id="title">
<option value="" selected>Select a title</option>
<option value="Mr">Mr</option>
<option value="Mrs">Mrs</option>
<option value="Ms">Ms</option>
<option value="Miss">Miss</option>
<option value="Dr.">Dr.</option>
</select>
				
				
						<td><input name="mobilephone" type="text" id="mobilephone" size=43></td>
				
  <tr><td class="style1">Address 1</td><td class="style1">Fax Number </td>
  <tr><td><input name="address1" type="text" id="address1" size=43>
				
				
						<td>  <input name="faxnumber" type="text" id="faxnumber" size=43> </td>
				
  <tr><td class="style1">Address 2</td><td class="style1">Your 1st email address:</td></tr>
						<tr><td><input name="address2" type="text" id="address2" size=43></td>
				
						<td><input name="email1" type="text" id="email1" size=43></td></tr>
				
				<tr><td class="style1">City</td><td class="style1">Your 2nd email address:</td></tr>
						<tr><td><input name="city" type="text" id="city" size=43></td>
				
				
						<td><input name="email2" type="text" id="email2" size=43></td>
				
				<tr>
				  <td class="style1">County</td>
				  <td class="style1">Web Site </td>
				</tr>
						<tr><td><input name="county" type="text" id="county" size=43></td>
				
				<td>
						 <input name="website" type="text" id="website" size=43 /></td>
				
				<tr><td class="style1">Post Code</td><td>	</td></tr>
						<tr><td><input name="postcode" type="text" id="postcode" size=43></td><td></td></tr>
						<tr><td></td><td><strong>SPECIALISATION</strong>:</td></tr>
				               
</table>
				<table width="800" height="360" border="1" cellpadding="1"  cellspacing="10" bordercolor="white"  bgcolor="#d5dae1">
					<tr>
							<td width="212" height="338" valign="top" class="style1"><p>
							  <input name="advertising" type=CHECKBOX id="advertising"  value="Advertising" />
							  Advertising
							  <br>
							  <input name="aeronautical" type=CHECKBOX id="aeronautical" value="Aeronautical"  />
							  Aeronautical
				<br>
				<input name="agriculture" type=CHECKBOX id="agriculture" value="Agriculture"  />
				Agriculture
				<br>
				<input name="agriculture_horticulture" type=CHECKBOX id="agriculture_horticulture" value="Agriculture &amp; horticulture"  />
				Agriculture & horticulture<br>
				<input name="architecture_building" type=CHECKBOX id="architecture_building" value="Architecture &amp; building"  />
				Architecture & building
				<br>
				<input name="art" type=CHECKBOX id="art" value="Art"  />
				Art
				<br>
				<input name="arts_literature" type=CHECKBOX id="arts_literature" value="Arts, literature &amp; media "  />
				Arts, literature & media
				<br>
				<input name="astronomy_cosmology" type=CHECKBOX id="astronomy_cosmology" value="Astronomy &amp; Cosmology "  />
				Astronomy & Cosmology
				<br>
				<input name="automotive" type=CHECKBOX id="automotive" value="Automotive"  />
				Automotive
				<br>
				<input name="banking_finance" type=CHECKBOX id="banking_finance" value="Banking &amp; Finance"  />
				Banking & Finance
				<br>
				<input name="biochemistry" type=CHECKBOX id="biochemistry" value="Biochemistry"  />
				Biochemistry
				<br>
							<input name="biology" type=CHECKBOX id="biology" value="Biology "  />
							Biology
					<br>
								<input name="business" type=CHECKBOX id="business" value="Business"  />
							  Business
				<br>
								<input name="chemical_engineering" type=CHECKBOX id="chemical_engineering" value="Chemical Engineering"  />
							  Chemical Engineering
				<br>
								<input name="civil_engineering" type=CHECKBOX id="civil_engineering" value="Civil Engineering"  />
							  Civil Engineering
				  
					</p>              </td><br>
					  <td width="212" valign="top" class="style1">
						<p>
						  <input name="computers_data" type=CHECKBOX id="computers_data" value="Computers/Data"  />
						  Computers/Data
						  <br>
						  <input name="cosmetics_perfumes" type=CHECKBOX id="cosmetics_perfumes"  value="Cosmetics &amp; perfumes" />
						  Cosmetics & perfumes
						  <br>
						  <input name="crafts" type=CHECKBOX id="crafts" value="Crafts"  />
						  Crafts
				<br>
				<input name="defence" type=CHECKBOX id="defence" value="Defence"  />
				Defence
				<br>
				<input name="economics" type=CHECKBOX id="economics" value="Economics"  />
				Economics
				<br>
				<input name="electrical_engineering" type=CHECKBOX id="electrical_engineering" value="Electrical Engineering"  />
				Electrical Engineering
				<br>
				<input name="electronics" type=CHECKBOX id="electronics" value="Electronics "  />
				Electronics
				<br>
				<input name="engineering" type=CHECKBOX id="engineering" value="Engineering"  />
				Engineering
				<br>
				<input name="environment" type=CHECKBOX id="environment" value="Environment "  />
				Environment
				<br>
				<input name="eu_matters" type=CHECKBOX id="eu_matters" value="EU matters "  />
				EU matters
				<br>
				<input name="food_drink" type=CHECKBOX id="food_drink" value="Food &amp; drink "  />
				Food & drink
				<br>
				 <input name="geography_geology" type=CHECKBOX id="geography_geology" value="Geography &amp; geology"  />
				 Geography & geology
				<br>
				<input name="general" type=CHECKBOX id="general" value="General "  />
				General
				<br>
				<input name="humanities" type=CHECKBOX id="humanities" value="Humanities"  />
				Humanities
						<br>
						<input name="information_technology" type=CHECKBOX id="information_technology" value="Information technology "  />
						Information technology        </p>        </td>
				 <td width="237" valign="top" class="style1">
				<input name="insurance" type=CHECKBOX id="insurance" value="Insurance"  />
				Insurance
				<br>
				<input name="law" type=CHECKBOX id="law" value="Law"  />
				Law
				
				<br>
				<input name="leisure" type=CHECKBOX id="leisure" value="Leisure"  />
				Leisure
				
				<br>
				<input name="literature" type=CHECKBOX id="literature" value="Literature"  />
				Literature
				
				<br>
				<input name="management" type=CHECKBOX id="management" value="Management"  />
				Management
				
				<br>
				<input name="manufacturing_processes" type=CHECKBOX id="manufacturing_processes" value="Manufacturing processes"  />
				Manufacturing processes
				
				<br>
				<input name="marine_engineering" type=CHECKBOX id="marine_engineering" value="Marine engineering"  />
				Marine engineering
				
				<br>
				<input name="marketing" type=CHECKBOX id="marketing" value="Marketing"  />
				Marketing
				
				<br>
				<input name="mathematics" type=CHECKBOX id="mathematics" value="Mathematics"  />
				Mathematics
				
				<br>
				<input name="maths_statistics" type=CHECKBOX id="maths_statistics" value="Maths &amp; statistics "  />
				Maths & statistics
				
				<br>
				<input name="mechanical_engineering" type=CHECKBOX id="mechanical_engineering" value="Mechanical Engineering"  />
				Mechanical Engineering
				
				<br>
				<input name="medicine" type=CHECKBOX id="medicine" value="Medicine"  />
				Medicine
				
				<br>
				<input name="medicine_pharmaceuticals" type=CHECKBOX id="medicine_pharmaceuticals" value="Medicine &amp; pharmaceuticals"  />
				Medicine & pharmaceuticals<br />
				<input name="mining" type=CHECKBOX id="mining" value="Mining"  />
				Mining
				
				<br>
				<input name="music" type=CHECKBOX id="music" value="Music"  />
				Music</td>
					  <td width="230" valign="top" class="style1"><input name="nautical_sailing" type=CHECKBOX id="nautical_sailing" value="Nautical/sailing "  />
				Nautical/sailing
				<br>
				<input name="nuclear_engineering" type=CHECKBOX id="nuclear_engineering" value="Nuclear Engineering"  />
				Nuclear Engineering
				<br>
				<input name="oil_gasindustry" type=CHECKBOX id="oil_gasindustry" value="Oil &amp; gas industry"  />
				Oil & gas industry
				<br>
				<input name="patents" type=CHECKBOX id="patents" value="Patents"  />
				Patents
				<br>
				<input name="pharmaceuticals" type=CHECKBOX id="pharmaceuticals" value="Pharmaceuticals"  />
				Pharmaceuticals
				<br>
				<input name="physics" type=CHECKBOX id="physics" value="Physics"  />
				Physics
				<br>
				<input name="plastics_polymersmaterials" type=CHECKBOX id="plastics_polymersmaterials" value="Plastics &amp; Polymers Materials"  />
				Plastics &amp; Polymers  Materials
				<br>
				<input name="politics" type=CHECKBOX id="politics" value="Politics"  />
				Politics
				<br>
				<input name="public_relations" type=CHECKBOX id="public_relations" value="Public Relations"  />
				Public Relations
				<br>
				<input name="telecommunications" type=CHECKBOX id="telecommunications" value="Telecommunications"  />
				Telecommunications
				<br>
				<input name="textile_technology" type=CHECKBOX id="textile_technology" value="Textile Technology "  />
				Textile Technology
				<br>
				<input name="textiles_clothing" type=CHECKBOX id="textiles_clothing" value="Textiles &amp; clothing"  />
				Textiles & clothing
				<br>
				<input name="transport" type=CHECKBOX id="transport" value="Transport "  />
				Transport
				<br>
				<br>
				<em>Other, please specify:</em><br />
				<input name="other_specify" type="text" id="other_specify" size=25 maxlength="100" />
				<br /></td>
				</tr>
				</table>
				
				<p class="style1">Qualifications (<em>e.g. MA in translation</em>) / Professional Membership (<em>e.g. IoL, ATA or ITI</em>):<br>
						<input name="qualifications" type="text" id="qualifications" size=43>
				
<p class="style1">Specialist Software (<em>e.g. Trados, Quark, AutoCAD</em>);<br>
						<input name="specialist_software" type="text" id="specialist_software" size=43>
						<br>
				
				<br>
  <strong>Language combinations</strong>:
				<table width="737" height="249" border="1">
				  <tr>
					<td width="727"><table width="700" border="0" cellpadding="6">
					  <tr>
						<td><span class="style1 style1">Mother tongue</span></td>
						<td><p> </p>
						  <p>
							<select name="mother_tongue" size="1" id="mother_tongue">
							  <option value="">Select language</option>
							   <option value="Afrikaans"> Afrikaans </option>
              <option value="Albanian"> Albanian </option>
              <option value="Arabic"> Arabic </option>
			  <option value="Bahasa"> Bahasa </option>
              <option value="Basque"> Basque </option>
              <option value="Belarusian"> Belarusian </option>
              <option value="6"> Bengali </option>
              <option value="Bengali"> Bosnian </option>
              <option value="British Sign Language"> British Sign Language </option>
              <option value="Bulgarian Catalan"> Bulgarian Catalan </option>
              <option value="Chinese(Cantonese)"> Chinese(Cantonese) </option>
              <option value="Chinese(Mandarin)"> Chinese(Mandarin) </option>
              <option value="Chinese (Hainanese)"> Chinese (Hainanese) </option>
			  <option value="Chinese (Hakka)"> Chinese (Hakka) </option>
			  <option value="Chinese (Badini)"> Chinese (Badini) </option>
			  <option value="Chinese(Putonghua)"> Chinese(Putonghua) </option>
              <option value="Croatian"> Croatian </option>
              <option value="Czech"> Czech </option>
              <option value="Danish"> Danish </option>
              <option value="Dari"> Dari </option>
              <option value="Dutch"> Dutch </option>
              <option value="Dutch(Flemish) "> Dutch(Flemish) </option>
              <option value="English"> English </option>
              <option value="English(US)"> English(US) </option>
              <option value="Faroese"> Faroese </option>
              <option value="22"> Farsi </option>
              <option value="Farsi"> Finnish </option>
              <option value="Flemish"> Flemish </option>
              <option value="French"> French</option>
              <option value="French(Canadian) "> French(Canadian)</option>
              <option value="Galician"> Galician </option>
              <option value="German"> German </option>
              <option value="German(Austrian)"> German(Austrian) </option>
              <option value="German(Swiss)"> German(Swiss) </option>
              <option value="Greek"> Greek </option>
              <option value="Hebrew"> Hebrew </option>
              <option value="Hindi"> Hindi </option>
              <option value="Hungarian"> Hungarian </option>
              <option value="Icelandic"> Icelandic </option>
              <option value="Indonesian"> Indonesian </option>
              <option value="Italian"> Italian </option>
              <option value="Japanese"> Japanese </option>
              <option value="Korean"> Korean </option>
			  <option value="Kurdish (Badini))"> Kurdish (Badini) </option>
			  <option value="Kurdish (Sorani)"> Kurdish (Sorani) </option>
              <option value="Latin"> Latin </option>
              <option value="Latvian"> Latvian </option>
              <option value="Lingala"> Lingala </option>
			  <option value="Lithuanian"> Lithuanian </option>
              <option value="Luxembourg"> Luxembourg </option>
              <option value="Macedonian"> Macedonian </option>
              <option value="Malay"> Malay </option>
              <option value="Maltese"> Maltese </option>
              <option value="Norwegian"> Norwegian </option>
              <option value="Persian"> Persian </option>
			  <option value="Philipino"> Philipino </option>
              <option value="Polish"> Polish </option>
              <option value="Portuguese"> Portuguese </option>
              <option value="Portuguese(Brazilian) "> Portuguese(Brazilian) </option>
              <option value="Punjabi"> Punjabi </option>
              <option value="Romanian"> Romanian </option>
              <option value="Russian"> Russian </option>
              <option value="Scandinavian"> Scandinavian </option>
              <option value="Serbian"> Serbian </option>
			  <option value="Singhalese"> Singhalese </option>
              <option value="Slovak"> Slovak </option>
              <option value="Slovenian"> Slovenian </option>
              <option value="Spanish"> Spanish </option>
              <option value="Spanish(Latin American) "> Spanish(Latin American) </option>
              <option value="Swahili"> Swahili </option>
              <option value="Swedish"> Swedish </option>
              <option value="Tamil"> Tamil </option>
			  <option value="Thai"> Thai </option>
              <option value="Turkish"> Turkish </option>
              <option value="Ukrainian"> Ukrainian </option>
              <option value="Urdu"> Urdu </option>
              <option value="Vietnamese"> Vietnamese </option>
              <option value="Welsh"> Welsh </option>
							</select>
						  </p></td>
						<td>&nbsp;</td>
						<td>&nbsp;</td>
					  </tr>
					  <tr>
						<td><span class="style1 style1"><b>Language pair 1<br />
                        </b> Source Language 1&nbsp;&nbsp;&nbsp;&nbsp;</span><br />
					    </b></td>
						<td><p></p>
						  <p class="style1 style1">
							<br />
							<select name="source_language1" size="1" id="source_language1">
							  <option value="">Select Language</option>
							   <option value="Afrikaans"> Afrikaans </option>
              <option value="Albanian"> Albanian </option>
              <option value="Arabic"> Arabic </option>
			  <option value="Bahasa"> Bahasa </option>
              <option value="Basque"> Basque </option>
              <option value="Belarusian"> Belarusian </option>
              <option value="6"> Bengali </option>
              <option value="Bengali"> Bosnian </option>
              <option value="British Sign Language"> British Sign Language </option>
              <option value="Bulgarian Catalan"> Bulgarian Catalan </option>
              <option value="Chinese(Cantonese)"> Chinese(Cantonese) </option>
              <option value="Chinese(Mandarin)"> Chinese(Mandarin) </option>
              <option value="Chinese (Hainanese)"> Chinese (Hainanese) </option>
			  <option value="Chinese (Hakka)"> Chinese (Hakka) </option>
			  <option value="Chinese (Badini)"> Chinese (Badini) </option>
			  <option value="Chinese(Putonghua)"> Chinese(Putonghua) </option>
              <option value="Croatian"> Croatian </option>
              <option value="Czech"> Czech </option>
              <option value="Danish"> Danish </option>
              <option value="Dari"> Dari </option>
              <option value="Dutch"> Dutch </option>
              <option value="Dutch(Flemish) "> Dutch(Flemish) </option>
              <option value="English"> English </option>
              <option value="English(US)"> English(US) </option>
              <option value="Faroese"> Faroese </option>
              <option value="22"> Farsi </option>
              <option value="Farsi"> Finnish </option>
              <option value="Flemish"> Flemish </option>
              <option value="French"> French</option>
              <option value="French(Canadian) "> French(Canadian)</option>
              <option value="Galician"> Galician </option>
              <option value="German"> German </option>
              <option value="German(Austrian)"> German(Austrian) </option>
              <option value="German(Swiss)"> German(Swiss) </option>
              <option value="Greek"> Greek </option>
              <option value="Hebrew"> Hebrew </option>
              <option value="Hindi"> Hindi </option>
              <option value="Hungarian"> Hungarian </option>
              <option value="Icelandic"> Icelandic </option>
              <option value="Indonesian"> Indonesian </option>
              <option value="Italian"> Italian </option>
              <option value="Japanese"> Japanese </option>
              <option value="Korean"> Korean </option>
			  <option value="Kurdish (Badini))"> Kurdish (Badini) </option>
			  <option value="Kurdish (Sorani)"> Kurdish (Sorani) </option>
              <option value="Latin"> Latin </option>
              <option value="Latvian"> Latvian </option>
              <option value="Lingala"> Lingala </option>
			  <option value="Lithuanian"> Lithuanian </option>
              <option value="Luxembourg"> Luxembourg </option>
              <option value="Macedonian"> Macedonian </option>
              <option value="Malay"> Malay </option>
              <option value="Maltese"> Maltese </option>
              <option value="Norwegian"> Norwegian </option>
              <option value="Persian"> Persian </option>
			  <option value="Philipino"> Philipino </option>
              <option value="Polish"> Polish </option>
              <option value="Portuguese"> Portuguese </option>
              <option value="Portuguese(Brazilian) "> Portuguese(Brazilian) </option>
              <option value="Punjabi"> Punjabi </option>
              <option value="Romanian"> Romanian </option>
              <option value="Russian"> Russian </option>
              <option value="Scandinavian"> Scandinavian </option>
              <option value="Serbian"> Serbian </option>
			  <option value="Singhalese"> Singhalese </option>
              <option value="Slovak"> Slovak </option>
              <option value="Slovenian"> Slovenian </option>
              <option value="Spanish"> Spanish </option>
              <option value="Spanish(Latin American) "> Spanish(Latin American) </option>
              <option value="Swahili"> Swahili </option>
              <option value="Swedish"> Swedish </option>
              <option value="Tamil"> Tamil </option>
			  <option value="Thai"> Thai </option>
              <option value="Turkish"> Turkish </option>
              <option value="Ukrainian"> Ukrainian </option>
              <option value="Urdu"> Urdu </option>
              <option value="Vietnamese"> Vietnamese </option>
              <option value="Welsh"> Welsh </option>
							</select>
							&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p></td>
						<td><span class="style2">&nbsp;&nbsp;</span><span class="style1 style1">Target
					    Language 1</span></td>
						<td>&nbsp;&nbsp;<br />
						  <select name="target_language1" size="1" id="target_language1">
							<option value="">Select language</option>
							 <option value="Afrikaans"> Afrikaans </option>
              <option value="Albanian"> Albanian </option>
              <option value="Arabic"> Arabic </option>
			  <option value="Bahasa"> Bahasa </option>
              <option value="Basque"> Basque </option>
              <option value="Belarusian"> Belarusian </option>
              <option value="6"> Bengali </option>
              <option value="Bengali"> Bosnian </option>
              <option value="British Sign Language"> British Sign Language </option>
              <option value="Bulgarian Catalan"> Bulgarian Catalan </option>
              <option value="Chinese(Cantonese)"> Chinese(Cantonese) </option>
              <option value="Chinese(Mandarin)"> Chinese(Mandarin) </option>
              <option value="Chinese (Hainanese)"> Chinese (Hainanese) </option>
			  <option value="Chinese (Hakka)"> Chinese (Hakka) </option>
			  <option value="Chinese (Badini)"> Chinese (Badini) </option>
			  <option value="Chinese(Putonghua)"> Chinese(Putonghua) </option>
              <option value="Croatian"> Croatian </option>
              <option value="Czech"> Czech </option>
              <option value="Danish"> Danish </option>
              <option value="Dari"> Dari </option>
              <option value="Dutch"> Dutch </option>
              <option value="Dutch(Flemish) "> Dutch(Flemish) </option>
              <option value="English"> English </option>
              <option value="English(US)"> English(US) </option>
              <option value="Faroese"> Faroese </option>
              <option value="22"> Farsi </option>
              <option value="Farsi"> Finnish </option>
              <option value="Flemish"> Flemish </option>
              <option value="French"> French</option>
              <option value="French(Canadian) "> French(Canadian)</option>
              <option value="Galician"> Galician </option>
              <option value="German"> German </option>
              <option value="German(Austrian)"> German(Austrian) </option>
              <option value="German(Swiss)"> German(Swiss) </option>
              <option value="Greek"> Greek </option>
              <option value="Hebrew"> Hebrew </option>
              <option value="Hindi"> Hindi </option>
              <option value="Hungarian"> Hungarian </option>
              <option value="Icelandic"> Icelandic </option>
              <option value="Indonesian"> Indonesian </option>
              <option value="Italian"> Italian </option>
              <option value="Japanese"> Japanese </option>
              <option value="Korean"> Korean </option>
			  <option value="Kurdish (Badini))"> Kurdish (Badini) </option>
			  <option value="Kurdish (Sorani)"> Kurdish (Sorani) </option>
              <option value="Latin"> Latin </option>
              <option value="Latvian"> Latvian </option>
              <option value="Lingala"> Lingala </option>
			  <option value="Lithuanian"> Lithuanian </option>
              <option value="Luxembourg"> Luxembourg </option>
              <option value="Macedonian"> Macedonian </option>
              <option value="Malay"> Malay </option>
              <option value="Maltese"> Maltese </option>
              <option value="Norwegian"> Norwegian </option>
              <option value="Persian"> Persian </option>
			  <option value="Philipino"> Philipino </option>
              <option value="Polish"> Polish </option>
              <option value="Portuguese"> Portuguese </option>
              <option value="Portuguese(Brazilian) "> Portuguese(Brazilian) </option>
              <option value="Punjabi"> Punjabi </option>
              <option value="Romanian"> Romanian </option>
              <option value="Russian"> Russian </option>
              <option value="Scandinavian"> Scandinavian </option>
              <option value="Serbian"> Serbian </option>
			  <option value="Singhalese"> Singhalese </option>
              <option value="Slovak"> Slovak </option>
              <option value="Slovenian"> Slovenian </option>
              <option value="Spanish"> Spanish </option>
              <option value="Spanish(Latin American) "> Spanish(Latin American) </option>
              <option value="Swahili"> Swahili </option>
              <option value="Swedish"> Swedish </option>
              <option value="Tamil"> Tamil </option>
			  <option value="Thai"> Thai </option>
              <option value="Turkish"> Turkish </option>
              <option value="Ukrainian"> Ukrainian </option>
              <option value="Urdu"> Urdu </option>
              <option value="Vietnamese"> Vietnamese </option>
              <option value="Welsh"> Welsh </option>
						  </select>
						  <b></b></td>
					  </tr>
					  <tr>
						<td><span class="style1 style1"><b>Language pair 2 <br />
						</b> Source Language 2
						
				&nbsp;&nbsp;&nbsp;&nbsp;</span></td>
						<td><span class="style1 style1">
						  <br />
						  <select name="source_language2" size="1" id="source_language2">
							<option value="">Select language</option>
							 <option value="Afrikaans"> Afrikaans </option>
              <option value="Albanian"> Albanian </option>
              <option value="Arabic"> Arabic </option>
			  <option value="Bahasa"> Bahasa </option>
              <option value="Basque"> Basque </option>
              <option value="Belarusian"> Belarusian </option>
              <option value="6"> Bengali </option>
              <option value="Bengali"> Bosnian </option>
              <option value="British Sign Language"> British Sign Language </option>
              <option value="Bulgarian Catalan"> Bulgarian Catalan </option>
              <option value="Chinese(Cantonese)"> Chinese(Cantonese) </option>
              <option value="Chinese(Mandarin)"> Chinese(Mandarin) </option>
              <option value="Chinese (Hainanese)"> Chinese (Hainanese) </option>
			  <option value="Chinese (Hakka)"> Chinese (Hakka) </option>
			  <option value="Chinese (Badini)"> Chinese (Badini) </option>
			  <option value="Chinese(Putonghua)"> Chinese(Putonghua) </option>
              <option value="Croatian"> Croatian </option>
              <option value="Czech"> Czech </option>
              <option value="Danish"> Danish </option>
              <option value="Dari"> Dari </option>
              <option value="Dutch"> Dutch </option>
              <option value="Dutch(Flemish) "> Dutch(Flemish) </option>
              <option value="English"> English </option>
              <option value="English(US)"> English(US) </option>
              <option value="Faroese"> Faroese </option>
              <option value="22"> Farsi </option>
              <option value="Farsi"> Finnish </option>
              <option value="Flemish"> Flemish </option>
              <option value="French"> French</option>
              <option value="French(Canadian) "> French(Canadian)</option>
              <option value="Galician"> Galician </option>
              <option value="German"> German </option>
              <option value="German(Austrian)"> German(Austrian) </option>
              <option value="German(Swiss)"> German(Swiss) </option>
              <option value="Greek"> Greek </option>
              <option value="Hebrew"> Hebrew </option>
              <option value="Hindi"> Hindi </option>
              <option value="Hungarian"> Hungarian </option>
              <option value="Icelandic"> Icelandic </option>
              <option value="Indonesian"> Indonesian </option>
              <option value="Italian"> Italian </option>
              <option value="Japanese"> Japanese </option>
              <option value="Korean"> Korean </option>
			  <option value="Kurdish (Badini))"> Kurdish (Badini) </option>
			  <option value="Kurdish (Sorani)"> Kurdish (Sorani) </option>
              <option value="Latin"> Latin </option>
              <option value="Latvian"> Latvian </option>
              <option value="Lingala"> Lingala </option>
			  <option value="Lithuanian"> Lithuanian </option>
              <option value="Luxembourg"> Luxembourg </option>
              <option value="Macedonian"> Macedonian </option>
              <option value="Malay"> Malay </option>
              <option value="Maltese"> Maltese </option>
              <option value="Norwegian"> Norwegian </option>
              <option value="Persian"> Persian </option>
			  <option value="Philipino"> Philipino </option>
              <option value="Polish"> Polish </option>
              <option value="Portuguese"> Portuguese </option>
              <option value="Portuguese(Brazilian) "> Portuguese(Brazilian) </option>
              <option value="Punjabi"> Punjabi </option>
              <option value="Romanian"> Romanian </option>
              <option value="Russian"> Russian </option>
              <option value="Scandinavian"> Scandinavian </option>
              <option value="Serbian"> Serbian </option>
			  <option value="Singhalese"> Singhalese </option>
              <option value="Slovak"> Slovak </option>
              <option value="Slovenian"> Slovenian </option>
              <option value="Spanish"> Spanish </option>
              <option value="Spanish(Latin American) "> Spanish(Latin American) </option>
              <option value="Swahili"> Swahili </option>
              <option value="Swedish"> Swedish </option>
              <option value="Tamil"> Tamil </option>
			  <option value="Thai"> Thai </option>
              <option value="Turkish"> Turkish </option>
              <option value="Ukrainian"> Ukrainian </option>
              <option value="Urdu"> Urdu </option>
              <option value="Vietnamese"> Vietnamese </option>
              <option value="Welsh"> Welsh </option>
						  </select>
						</span></td>
					  </tr>
					  <tr>
						<td><p class="style1 style1"> </p>
						  <p class="style1 style1"><strong>Language pair 3 </strong><br />
				  Source Language 3          </p></td>
						<td><span class="style1 style1">
						  <br />
						  <select name="source_language3" size="1" id="source_language3">
							<option value="">Select language</option>
							 <option value="Afrikaans"> Afrikaans </option>
              <option value="Albanian"> Albanian </option>
              <option value="Arabic"> Arabic </option>
			  <option value="Bahasa"> Bahasa </option>
              <option value="Basque"> Basque </option>
              <option value="Belarusian"> Belarusian </option>
              <option value="6"> Bengali </option>
              <option value="Bengali"> Bosnian </option>
              <option value="British Sign Language"> British Sign Language </option>
              <option value="Bulgarian Catalan"> Bulgarian Catalan </option>
              <option value="Chinese(Cantonese)"> Chinese(Cantonese) </option>
              <option value="Chinese(Mandarin)"> Chinese(Mandarin) </option>
              <option value="Chinese (Hainanese)"> Chinese (Hainanese) </option>
			  <option value="Chinese (Hakka)"> Chinese (Hakka) </option>
			  <option value="Chinese (Badini)"> Chinese (Badini) </option>
			  <option value="Chinese(Putonghua)"> Chinese(Putonghua) </option>
              <option value="Croatian"> Croatian </option>
              <option value="Czech"> Czech </option>
              <option value="Danish"> Danish </option>
              <option value="Dari"> Dari </option>
              <option value="Dutch"> Dutch </option>
              <option value="Dutch(Flemish) "> Dutch(Flemish) </option>
              <option value="English"> English </option>
              <option value="English(US)"> English(US) </option>
              <option value="Faroese"> Faroese </option>
              <option value="22"> Farsi </option>
              <option value="Farsi"> Finnish </option>
              <option value="Flemish"> Flemish </option>
              <option value="French"> French</option>
              <option value="French(Canadian) "> French(Canadian)</option>
              <option value="Galician"> Galician </option>
              <option value="German"> German </option>
              <option value="German(Austrian)"> German(Austrian) </option>
              <option value="German(Swiss)"> German(Swiss) </option>
              <option value="Greek"> Greek </option>
              <option value="Hebrew"> Hebrew </option>
              <option value="Hindi"> Hindi </option>
              <option value="Hungarian"> Hungarian </option>
              <option value="Icelandic"> Icelandic </option>
              <option value="Indonesian"> Indonesian </option>
              <option value="Italian"> Italian </option>
              <option value="Japanese"> Japanese </option>
              <option value="Korean"> Korean </option>
			  <option value="Kurdish (Badini))"> Kurdish (Badini) </option>
			  <option value="Kurdish (Sorani)"> Kurdish (Sorani) </option>
              <option value="Latin"> Latin </option>
              <option value="Latvian"> Latvian </option>
              <option value="Lingala"> Lingala </option>
			  <option value="Lithuanian"> Lithuanian </option>
              <option value="Luxembourg"> Luxembourg </option>
              <option value="Macedonian"> Macedonian </option>
              <option value="Malay"> Malay </option>
              <option value="Maltese"> Maltese </option>
              <option value="Norwegian"> Norwegian </option>
              <option value="Persian"> Persian </option>
			  <option value="Philipino"> Philipino </option>
              <option value="Polish"> Polish </option>
              <option value="Portuguese"> Portuguese </option>
              <option value="Portuguese(Brazilian) "> Portuguese(Brazilian) </option>
              <option value="Punjabi"> Punjabi </option>
              <option value="Romanian"> Romanian </option>
              <option value="Russian"> Russian </option>
              <option value="Scandinavian"> Scandinavian </option>
              <option value="Serbian"> Serbian </option>
			  <option value="Singhalese"> Singhalese </option>
              <option value="Slovak"> Slovak </option>
              <option value="Slovenian"> Slovenian </option>
              <option value="Spanish"> Spanish </option>
              <option value="Spanish(Latin American) "> Spanish(Latin American) </option>
              <option value="Swahili"> Swahili </option>
              <option value="Swedish"> Swedish </option>
              <option value="Tamil"> Tamil </option>
			  <option value="Thai"> Thai </option>
              <option value="Turkish"> Turkish </option>
              <option value="Ukrainian"> Ukrainian </option>
              <option value="Urdu"> Urdu </option>
              <option value="Vietnamese"> Vietnamese </option>
              <option value="Welsh"> Welsh </option>
						  </select>
						</span></td>
					  </tr>
					</table>      
					  <p>&nbsp;&nbsp;</p>
					</td>
				  </tr>
				</table>
				<p>&nbsp;</p>
				<p><span class="style7">Rates</span></p>
				<table width="739" height="474" border="1">
				  <tr>
					<td width="799" height="468" align="left" valign="top">
					  <br />
					  <table width="562" height="45" border="1" align="center">
						<tr>
						  <td width="552" align="center" valign="middle"><span class="style1">
							<span class="style7"><strong>Currency</strong>:</span>
							<input name="currency1" type=CHECKBOX id="currency1"  value="&pound;" />
				&pound;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
				<input name="currency2" type=CHECKBOX id="currency2" value="Euro"  />
				Euro&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
				<input name="currency3" type=CHECKBOX id="currency3" value="$"  />
				$          &nbsp;&nbsp;</span></td>
						</tr>
					  </table>
					  <br />
					  <table width="718" border="0">
						<tr>
						  <td valign="top"><p class="style7"><strong>Service<br />
						  </strong>(type amount in boxes) </p>
						  </td>
						  <td valign="top">&nbsp;</td>
						  <td><span class="style7"><strong>Volume</strong> <br />
						  (tick relevant box)</span></td>
						</tr>
						<tr>
						  <td width="183" valign="top"><p class="style1">Translation Rate &nbsp;</p>
						  </td>
						  <td width="294" valign="top"><p class="style1">
						    <input name="translation_rate" type="text" id="translation_rate" size=23 />
							</p>
						  </td>
						  <td width="227" valign="top"><p class="style1">
							<input name="translation_source" type=CHECKBOX id="translation_source"  value="Per 1000 words Source" />
							Per 1000 words Source </p>
						  <p><span class="style1">
							<input name="translation_target" type=CHECKBOX id="translation_target" value="Per 1000 words Target "  />
							Per 1000 words Target
							  
						  </span></p>
						  <p class="style1"><br />
						  </p>
						  
						</tr>
						<tr>
						  <td valign="top"><span class="style1">Proofreading rate</span>&nbsp;</td>
						  <td valign="top"><input name="proofreading_rate" type="text" id="proofreading_rate" size=23 /></td>
						  <td valign="top"><p class="style1">
							<input name="proofreading_source" type="checkbox" id="proofreading_source" value="Per 1000 words Source"  />
							Per 1000 words  </p>
							<p class="style1">
							  <input name="proofreading_target" type="checkbox" id="proofreading_target" value="Per 1000 words Target"  />
							Per hour </p>
							<p class="style1"><br />
						  </p></td>
						</tr>
						<tr>
						  <td valign="top"><p class="style1">Interpreting rate &nbsp;</p>
							<p class="style1">&nbsp;</p>
						  <p class="style1">&nbsp; </p></td>
						  <td valign="top"><span class="style1">
							<input name="interpreting_rate" type="text" id="interpreting_rate" size="23" />
						  </span></td>
						  <td valign="top"><p class="style1">
							<input name="Interpreting_hour" type="checkbox" id="Interpreting_hour" value="Per hour"  />
							Per hour
							  
						  </p>
							<p class="style1">
							  <input name="interpreting_day" type="checkbox" id="interpreting_day" value="Per day"  />
						  Per day            </p></td>
						</tr>
						<tr>
						  <td><p class="style1">Minimum charge &nbsp;</p>
						  <p class="style1">&nbsp;</p></td>
						  <td valign="top"><span class="style1">
							<input name="minimum_charge" type="text" id="minimum_charge" size="23" />
						  </span></td>
						  <td>&nbsp;</td>
						</tr>
						<tr>
						  <td valign="top"><span class="style1">Transcription </span>&nbsp;</td>
						  <td valign="top"><input name="transcription" type="text" id="transcription" size="23" /></td>
						  <td valign="top"><p class="style1">
							<input name="transcription_hour" type="checkbox" id="transcription_hour" value="Per hour"  />
							Per hour
							  
						  </p>
						  <p class="style1">
							<input name="transcription_target" type="checkbox" id="transcription_target" value="Per 1000 words Target"  />
						  Per 1000 words Target</p>
						  <p class="style1"><br />
						  </p>
						  </td>
						</tr>
						<tr>
						  <td valign="top"><span class="style1">Voice-over </span> &nbsp;</td>
						  <td valign="top"><input name="voice_over" type="text" id="voice_over" size="23" /></td>
						  <td><p class="style1">
							<input name="voice_over_hour" type="checkbox" id="voice_over_hour" value="Per hour"  />
							Per hour
							  
						  </p>
						  <p class="style1">
							<input name="voice_over_session" type="checkbox" id="voice_over_session" value="Per session "  />
						  Per session          </p></td>
						</tr>
					  </table>
					  <p><span class="style1">    </span></p>
					</td>
				
				  </tr>
				</table>
				<p class="style1">
				
				<p class="style1 ">Additional comments (maximum 200 characters): <br>
					   <TEXTAREA NAME="additional_comments" COLS=55 ROWS=6 id="additional_comments"></TEXTAREA>
				</p>
				
				<p class="style7">Date submitted </p>
				
				<p>
				<span class="style1 style1">Day</span> 
				<SELECT NAME="day">
				<option value="" selected>Select day</option>
				<option value="1">1</option>
				<option value="2">2</option>
				<option value="3">3</option>
				<option value="4">4</option>
				<option value="5">5</option>
				<option value="6">6</option>
				<option value="7">7</option>
				<option value="8">8</option>
				<option value="9">9</option>
				<option value="10">10</option>
				<option value="11">11</option>
				<option value="12">12</option>
				<option value="13">13</option>
				<option value="14">14</option>
				<option value="15">15</option>
				<option value="16">16</option>
				<option value="17">17</option>
				<option value="18">18</option>
				<option value="19">19</option>
				<option value="20">20</option>
				<option value="21">21</option>
				<option value="22">22</option>
				<option value="23">23</option>
				<option value="24">24</option>
				<option value="25">25</option>
				<option value="26">26</option>
				<option value="27">27</option>
				<option value="28">28</option>
				<option value="29">29</option>
				<option value="30">30</option>
				<option value="31">31</option>
				</select>
				
				   <span class="style1 style1">Month</span>    
				   <SELECT NAME="month">
					 <option value="">Select month</option>
					 <option value="1">January</option>
					 <option value="2">February</option>
					 <option value="3">March</option>
					 <option value="4">April</option>
					 <option value="5">May</option>
					 <option value="6">June</option>
					 <option value="7">July</option>
					 <option value="8">August</option>
					 <option value="9">September</option>
					 <option value="10">October</option>
					 <option value="11">November</option>
					 <option value="12">December</option>
				   </SELECT>
				
					<span class="style1 style1">Year</span>
					<select name="year">
					  <option value="">Select year</option>
					  <option value=2006>2006</option>
					  <option value=2007>2007</option>
					  <option value=2008>2008</option>
					  <option value=2009>2009</option>
					  <option value=2010>2010</option>
					</select>
					<br>
				    <span class="style10"><br />
			      By submitting this form you agree to the terms and conditions of Atlantic Translations Ltd (available on our website)</span>
				<form action="http://www.mydomain.com/myformhandler.cgi" method="POST" name="myform" class="style1">
				<br/>
					
						  <input name="submit" type="submit" id="submit" value="Submit"> 
						  <input name="clear_form" type=reset id="clear_form" value="Clear Form">
				</form>
<? } else if ($Action == 1) {
	//		mymail($to, $subject , $message, $from, $fromname, $cc )
	//		info@atlantic-translations.co.uk
		mymail("info@atlantic-translations.co.uk", $_POST['subject'], "You Have A New Submition", $_POST['email1'], $_POST['realname'],"");
		?><ins><span class="style2 style9">Thanks for submitting your details...</span>!</ins><?
} ?>
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