<?php echo $header; ?><?php echo $column_left; ?><?php echo $column_right; ?>
<div id="content">
  <div class="top">
    <div class="left"></div>
    <div class="right"></div>
    <div class="center">
      <h1><?php echo $heading_title; ?></h1>
    </div>
  </div>
  <div class="middle">
    <?php if ($error_warning) { ?>
    <div class="warning"><?php echo $error_warning; ?></div>
    <?php } ?>
    <form action="<?php echo str_replace('&', '&amp;', $action); ?>" method="post" enctype="multipart/form-data" id="edit">
      <b style="margin-bottom: 2px; display: block;"><?php echo $text_your_details; ?></b>
      <div style="background: #F7F7F7; border: 1px solid #DDDDDD; padding: 10px; margin-bottom: 10px;">
        <table>
          <tr>
            <td width="150"><span class="required">*</span> <?php echo $entry_firstname; ?></td>
            <td><input type="text" name="firstname" value="<?php echo $firstname; ?>" />
              <?php if ($error_firstname) { ?>
              <span class="error"><?php echo $error_firstname; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><span class="required">*</span> <?php echo $entry_lastname; ?></td>
            <td><input type="text" name="lastname" value="<?php echo $lastname; ?>" />
              <?php if ($error_lastname) { ?>
              <span class="error"><?php echo $error_lastname; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><span class="required">*</span> <?php echo $entry_email; ?></td>
            <td><input type="text" name="email" value="<?php echo $email; ?>" />
              <?php if ($error_email) { ?>
              <span class="error"><?php echo $error_email; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><span class="required">*</span> <?php echo $entry_telephone; ?></td>
            <td><input type="text" name="telephone" value="<?php echo $telephone; ?>" />
              <?php if ($error_telephone) { ?>
              <span class="error"><?php echo $error_telephone; ?></span>
              <?php } ?></td>
          </tr>
          <tr>
            <td><?php echo $entry_fax; ?></td>
            <td><input type="text" name="fax" value="<?php echo $fax; ?>" /></td>
          </tr>
        </table>
      </div>
      <div class="buttons">
        <table>
          <tr>
            <td align="left"><a onclick="location = '<?php echo str_replace('&', '&amp;', $back); ?>'" class="button"><span><?php echo $button_back; ?></span></a></td>
            <td align="right"><a onclick="$('#edit').submit();" class="button"><span><?php echo $button_continue; ?></span></a></td>
          </tr>
        </table>
      </div>
    </form>
  </div>
  <div class="bottom">
    <div class="left"></div>
    <div class="right"></div>
    <div class="center"></div>
  </div>
</div>
<?php echo $footer; ?> 