| Line 136... |
Line 136... |
| 136 |
<option value="Product received in damaged condition">Product received in damaged condition</option>
|
136 |
<option value="Product received in damaged condition">Product received in damaged condition</option>
|
| 137 |
</select>
|
137 |
</select>
|
| 138 |
<select id="delivery_problem">
|
138 |
<select id="delivery_problem">
|
| 139 |
<option value="Packet received in damaged condition">Packet received in damaged condition</option>
|
139 |
<option value="Packet received in damaged condition">Packet received in damaged condition</option>
|
| 140 |
<option value="Seal tampered">Seal tampered</option>
|
140 |
<option value="Seal tampered">Seal tampered</option>
|
| - |
|
141 |
<option value="Delivery not received">Delivery not received</option>
|
| 141 |
<option value="Delivery person asking for Extra shipping/ Octroi Charges">Delivery person asking for Extra shipping/ Octroi Charges</option>
|
142 |
<option value="Delivery person asking for Extra shipping/ Octroi Charges">Delivery person asking for Extra shipping/ Octroi Charges</option>
|
| 142 |
</select>
|
143 |
</select>
|
| 143 |
<input type="text" class="textbox" id="subject" />
|
144 |
<input type="text" class="textbox" id="subject" />
|
| 144 |
</div>
|
145 |
</div>
|
| 145 |
<div class="clearBoth"></div>
|
146 |
<div class="clearBoth"></div>
|
| 146 |
<div id="msgComponent" class="textbox-image">
|
147 |
<div id="msgComponent" class="textbox-image">
|
| 147 |
<label for="txtaMsg">Message</label>
|
148 |
<label for="txtaMsg">Message</label>
|
| 148 |
<textarea id="mailBody" name="message"></textarea>
|
149 |
<textarea id="mailBody" name="message"></textarea>
|
| 149 |
</div>
|
150 |
</div>
|
| 150 |
<div class="clearBoth"></div><br />
|
151 |
<div class="clearBoth"></div><br />
|
| 151 |
<div class="yellow-image">
|
152 |
<div class="yellow-image contact-form-button">
|
| 152 |
<input type="submit" class="button" name="submit" id="submit" value="Submit" disabled />
|
153 |
<input type="submit" class="button" name="submit" id="submit" value="Submit" disabled />
|
| 153 |
</div>
|
154 |
</div>
|
| - |
|
155 |
<div class="yellow-image contact-form-button">
|
| - |
|
156 |
<input type="button" class="button" id="resetFormButton" value="Reset" disabled />
|
| - |
|
157 |
</div>
|
| 154 |
<div class="clearBoth"></div>
|
158 |
<div class="clearBoth"></div>
|
| 155 |
</form>
|
159 |
</form>
|
| 156 |
</div>
|
160 |
</div>
|
| 157 |
<div id="postalAddress">
|
161 |
<div id="postalAddress">
|
| 158 |
<h4>Address:</h4>
|
162 |
<h4>Address:</h4>
|