<% javascript "contacts/new_contact.js" %>
<h1>
<%= _("Contact Us") %>
</h1>
<p>
<%= raw _('%{application_name} is provided by the %{organisation_name}. You can find out more about us on our <a href="%{organisation_url}" target="_blank">website</a>. If you would like to contact us about %{application_name}, please fill out the form below.') % {organisation_name: Rails.configuration.branding[:organisation][:name],
organisation_url: Rails.configuration.branding[:organisation][:url],
application_name: Rails.configuration.branding[:application][:name]} %>
</p>
<div class="column_container">
<!-- left column content -->
<div class="column_left">
<div class="white_background">
<%= form_for @contact, url: contacts_path, html: {class: "roadmap-form"} do |f| %>
<fieldset class="side-by-side">
<% if ContactUs.require_name %>
<div class="form-input">
<label for="contact_us_contact_name"><%= _('Name') %>*</label>
<input type="text" id="contact_us_contact_name" name="contact_us[contact_name]"
class="left-indent required" <%= current_user.nil? ? '' : "value=\"#{current_user.name}\" disabled=\"true\"" %> />
</div>
<% end %>
<div class="form-input">
<label for="contact_us_contact_email"><%= _('Email') %>*</label>
<input type="email" id="contact_us_contact_email" name="contact_us[contact_email]"
class="left-indent required" <%= current_user.nil? ? '' :
"value=\"#{current_user.name}\" disabled=\"true\"" %> />
<span role="" id="contact_us_contact_email_error" class="error-tooltip-right left-indent"></span>
</div>
<% if ContactUs.require_subject %>
<div class="form-input">
<label for="contact_us_contact_subject align-top"><%= _('Subject') %>*</label>
<input type="text" id="contact_us_contact_subject" name="contact_us[contact_subject]"
class="left-indent required" />
</div>
<% end %>
<div class="form-input">
<label for="contact_us_contact_message align-top"><%= _('Message') %>*</label>
<textarea id="contact_us_contact_message" name="contact_us[contact_message]" rows="10"
class="left-indent required"></textarea>
</div>
<% if !user_signed_in? then %>
<div class="form-input">
<label class="align-top"><%= _('Security check') %>*</label>
<div class="inline left-indent">
<%= recaptcha_tags %>
</div>
</div>
<% end %>
<div class="form-input">
<label></label>
<%= render partial: 'shared/accessible_submit_button',
locals: {id: 'create_contact_submit',
val: 'Submit',
disabled_initially: true,
tooltip: _('Fill in the required fields')} %>
</div>
</fieldset>
<% end %>
</div>
</div>
<!-- right column information -->
<div class="column_right">
<div class="white_background">
<%= raw _("<ul><li>%{organisation_name}</li>
<li>%{organisation_address_line1}</li>
<li>%{organisation_address_line2}</li>
<li>%{organisation_address_line3}</li>
<li>%{organisation_address_line4}</li>
<li>%{organisation_address_country}</li>
</ul>
<p>Helpline: %{organisation_telephone}</p>
<p>Email <a href='mailto:%{organisation_email}?Subject=%{application_name} inquiry' target='_top'>%{organisation_email}</a></p>") %
{ organisation_name: Rails.configuration.branding[:organisation][:name],
organisation_address_line1: Rails.configuration.branding[:organisation][:address_line1],
organisation_address_line2: Rails.configuration.branding[:organisation][:address_line2],
organisation_address_line3: Rails.configuration.branding[:organisation][:address_line3],
organisation_address_line4: Rails.configuration.branding[:organisation][:address_line4],
organisation_address_country: Rails.configuration.branding[:organisation][:address_country],
organisation_telephone: Rails.configuration.branding[:organisation][:telephone],
organisation_email: Rails.configuration.branding[:organisation][:email],
application_name: Rails.configuration.branding[:application][:name]} %>
<!-- map -->
<div class="div_map">
<iframe width="90%" height="250" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src="<%= Rails.configuration.branding[:organisation][:google_maps_link] %>"></iframe>
</div>
</div>
</div>
</div>