text changes to registration mail content
[namibia] / public / templates / page / limitedvaluationview.html
1                         <form id="frmValuationView" action="">
2                                 <div class="row-fluid page-title-wrapper">
3                                         <div class="span12">
4                                                 <h1>Vehicle</h1>
5                                                 <p class="page-title-header">
6                                                         Vehicle details provided below.
7                                                 </p>
8                                                 <a class="back-btn btn">Back</a>
9                                         </div>
10                                 </div>
11
12
13
14                                 <div class="row-fluid page-top-forms-wrapper">
15                                         <div class="customer-details-form span4">
16                                                 <div id="customerDetailsClick" class="visible-phone mobile-form-headers open">
17                                                         <i class="mobile-icon-user"></i>
18                                                         <p>
19                                                                 <span class="btn-content">
20                                                                 </span>
21                                                                 Customer details
22                                                         </p>
23                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
24                                                 </div>
25                                                 <div id="customerDetails">
26                                                         <p class="hidden-phone form-header"><i class="icon-user icon-white"></i>   Customer details</p>
27                                                         <div class="form-horizontal">
28                                                                 <div class="control-group mobile-control-group" id="[tid]_firstName">
29                                                                         [firstName]
30                                                             </div>
31                                                                 <div class="control-group mobile-control-group" id="[tid]_familyName">
32                                                                         [familyName]
33                                                             </div>
34                                                                 <div class="control-group mobile-control-group" id="[tid]_idNumber">
35                                                                         [idNumber]
36                                                             </div>
37                                                                 <div class="control-group mobile-control-group" id="[tid]_mobile">
38                                                                         [mobile]
39                                                             </div>
40                                                                 <div class="control-group mobile-control-group" id="[tid]_email">
41                                                                         [email]
42                                                             </div>
43                                                                 <div class="control-group mobile-control-group" id="[tid]_department">
44                                                                         [department]
45                                                             </div>
46                                                                 <div class="control-group mobile-control-group" id="[tid]_region">
47                                                                         [region]
48                                                                 </div>
49                                                                 <div class="control-group mobile-control-group" id="[tid]_city">
50                                                                         [city]
51                                                                 </div>
52                                                                 <div class="control-group mobile-control-group" id="[tid]_street">
53                                                                         [street]
54                                                                 </div>
55                                                                 <div class="control-group mobile-control-group" id="[tid]_requiredPrice">
56                                                                         [requiredPrice]
57                                                                 </div>
58                                                         </div>
59                                                 </div><!-- wrapper ends -->
60                                         </div>
61                                         <div class="valuation-details-form span4">
62                                                 <div id="valuationDetailsClick" class="visible-phone mobile-form-headers open">
63                                                         <i class="mobile-clipboard"></i>
64                                                         <p>
65                                                                 <span class="btn-content">
66                                                                 </span>
67                                                                 Valuation details
68                                                         </p>
69                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
70                                                 </div>
71                                                 <div id="valuationDetails">
72                                                         <p class="hidden-phone form-header"><img class="clipboard" src="imgs/clipboard.gif" alt="">Valuation details</p>
73                                                         <div class="form-horizontal">
74                                                                 <div class="control-group-wrapper mobile-control-group-wrapper">
75                                                                     <div class="control-group mobile-control-group date-created">
76                                                                         <label class="control-label mobile-control-label valuation-line" for="inputDateCreated">Date created:</label>
77                                                                         <div class="controls mobile-controls">
78                                                                                         <p class="information-lines" id="[tid]_infCreated">[infCreated]</p>
79                                                                         </div>
80                                                                     </div>
81                                                                     <div class="control-group mobile-control-group valuation-no">
82                                                                             <label class="control-label mobile-control-label valuation-line" for="inputValuationNo">Valuation no:</label>
83                                                                             <div class="controls mobile-controls">
84                                                                                 <p class="information-lines" id="[tid]_infValuationNumber">[infValuationNumber]</p>
85                                                                         </div>
86                                                                     </div>
87                                                                     <div class="control-group mobile-control-group ref-no">
88                                                                             <label class="control-label mobile-control-label valuation-line" for="inputRefNo">Reference no:</label>
89                                                                             <div class="controls mobile-controls">
90                                                                                 <p class="information-lines" id="[tid]_infReferenceNumber">[infReferenceNumber]</p>
91                                                                         </div>
92                                                                     </div>
93                                                                     <div class="control-group mobile-control-group vechile">
94                                                                             <label class="control-label mobile-control-label valuation-line" for="inputVechile">Vehicle status:</label>
95                                                                             <div class="controls mobile-controls">
96                                                                                 <p class="information-lines" id="[tid]_infStatus">[infStatus]</p>
97                                                                         </div>
98                                                                     </div>
99                                                                     <div class="control-group mobile-control-group created-by">
100                                                                             <label class="control-label mobile-control-label valuation-line" for="inputCreatedBy">Created by:</label>
101                                                                             <div class="controls mobile-controls">
102                                                                                 <p class="information-lines" id="[tid]_infCreatedBy">[infCreatedBy]</p>
103                                                                         </div>
104                                                                     </div>
105                                                                     <div class="control-group mobile-control-group valuator">
106                                                                             <label class="control-label mobile-control-label valuation-line" for="inputValuator">Valuator:</label>
107                                                                             <div class="controls mobile-controls">
108                                                                                         <p class="information-lines" id="[tid]_infValuator">[infValuator]</p>
109                                                                                 </div>
110                                                                     </div>
111                                                                     <div class="control-group mobile-control-group sales-person">
112                                                                             <label class="control-label mobile-control-label valuation-line" for="inputSalesPerson">Sales person:</label>
113                                                                             <div class="controls mobile-controls">
114                                                                                         <p class="information-lines" id="[tid]_infSalesUser">[infSalesUser]</p>
115                                                                                 </div>
116                                                                     </div>
117                                                                     <div class="control-group mobile-control-group date-loaded">
118                                                                             <label class="control-label mobile-control-label valuation-line" for="inputDateLoaded">Date loaded on price guide:</label>
119                                                                             <div class="controls mobile-controls">
120                                                                                         <p class="information-lines" id="[tid]_infLoadedOnPriceGuide">[infLoadedOnPriceGuide]</p>
121                                                                                 </div>
122                                                                         </div>
123                                                                 </div>
124                                                         </div>
125                                                 </div><!-- wrapper ends -->
126                                         </div>
127                                         <div class="hidden-phone pricing-details-form span4">
128                                                 <div id="pricingDetailsClick" class="visible-phone mobile-form-headers open">
129                                                         <i class="mobile-money"></i>
130                                                         <p>
131                                                                 <span class="btn-content">
132                                                                 </span>
133                                                                 Pricing details
134                                                         </p>
135                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
136                                                 </div>
137
138                                                 <div id="pricingDetails">
139                                                         <p class="hidden-phone form-header">
140                                                         <img class="money" src="imgs/money.gif" alt="">Pricing details</p>
141                                                         <div class="form-horizontal">
142                                                                 <p>Trade:<span class="price" id="[tid]_infTradePrice">[infTradePrice]</span></p>
143                                                                 <p class="trade-and-retail">*Trade and Retail avaliable</p>
144                                                                 <p class="retail">Retail:<span class="price" id="[tid]_infRetailPrice">[infRetailPrice]</span></p>
145                                 <p class="list">List:<span class="price" id="[tid]_infListPrice">[infListPrice]</span></p>
146
147                                                                 <div class="control-group mobile-control-group" id="[tid]_amountOffered">
148                                                                         [amountOffered]
149                                                             </div>
150                                                                 <div class="control-group mobile-control-group" id="[tid]_overAllowance">
151                                                                         [overAllowance]
152                                                             </div>
153                                                                 <div class="control-group mobile-control-group" id="[tid]_standInValue">
154                                                                         [standInValue]
155                                                             </div>
156                                                                 <div class="control-group mobile-control-group" id="[tid]_projectedRetail">
157                                                                         [projectedRetail]
158                                                             </div>
159                                                                 <div class="control-group mobile-control-group" id="[tid]_plannedMargin">
160                                                                         [plannedMargin]
161                                                             </div>
162                                                         </div>
163                                                 </div><!-- wrapper ends -->
164                                         </div>
165                                 </div>
166
167
168
169
170
171                                 <div class="row-fluid page-middle-forms-wrapper">
172                                         <div class="vehicle-specs-form span8">
173                                                 <div id="vSpecsClick" class="visible-phone mobile-form-headers open">
174                                                         <i class="mobile-car"></i>
175                                                         <p>
176                                                                 <span class="btn-content">
177                                                                 </span>
178                                                                 Vehicle specifications
179                                                         </p>
180                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
181                                                 </div>
182
183                                                 <div id="vSpecs">
184                                                         <p class="hidden-phone form-header"><img class="car" src="imgs/car.gif" alt="">Vehicle specifications</p>
185                                                         <div class="form-horizontal">
186                                                                 <div class="row-fluid">
187                                                                 <div class="span6">
188                                                                         <input type="hidden" id="retailPrice">
189                                                                         <input type="hidden" id="tradePrice">
190                                     <input type="hidden" id="listPrice">
191                                                                         <div class="control-group mobile-control-group" id="[tid]_vehicleYear">
192                                                                                 [vehicleYear]
193                                                                     </div>
194                                                                         <div class="control-group mobile-control-group" id="[tid]_category">
195                                                                                 [category]
196                                                                     </div>
197                                                                         <div class="control-group mobile-control-group" id="[tid]_make">
198                                                                                 [make]
199                                                                     </div>
200                                                                         <div class="control-group mobile-control-group" id="[tid]_model">
201                                                                                 [model]
202                                                                     </div>
203                                                                         <div class="control-group mobile-control-group" id="[tid]_type">
204                                                                                 [type]
205                                                                     </div>
206                                                                     <div class="control-group mobile-control-group" id="[tid]_mmCode">
207                                                                                 [mmCode]
208                                                                     </div>
209                                                                         <div class="control-group mobile-control-group " id="[tid]_registrationNumber">
210                                                                                 [registrationNumber]
211                                                                     </div>
212                                                                         <div class="control-group mobile-control-group" id="[tid]_fuelType">
213                                                                                 [fuelType]
214                                                                     </div>
215                                                                         <div class="control-group mobile-control-group" id="[tid]_transmissionType">
216                                                                                 [transmissionType]
217                                                                     </div>
218                                                                         <div class="control-group mobile-control-group" id="[tid]_vinNumber">
219                                                                                 [vinNumber]
220                                                                     </div>
221                                                                         <div class="control-group mobile-control-group" id="[tid]_engineNumber">
222                                                                                 [engineNumber]
223                                                                     </div>
224                                                                         <div class="control-group mobile-control-group" id="[tid]_sighted">
225                                                                                 [sighted]
226                                                                     </div>
227                                     <div class="control-group mobile-control-group" id="[tid]_licenseDiscExpired">
228                                         [licenseDiscExpired]
229                                     </div>
230                                                                 </div>
231                                                                 <div class="span6">
232                                                                         <div class="control-group mobile-control-group" id="[tid]_km">
233                                                                                 [km]
234                                                                     </div>
235                                                                         <div class="control-group mobile-control-group" id="[tid]_condition">
236                                                                                 [condition]
237                                                                     </div>
238                                                                         <div class="control-group mobile-control-group" id="[tid]_exteriorColour">
239                                                                                 [exteriorColour]
240                                                                     </div>
241                                                                         <div class="control-group mobile-control-group" id="[tid]_interiorColour">
242                                                                                 [interiorColour]
243                                                                     </div>
244                                                                         <div class="control-group mobile-control-group" id="[tid]_upholstery">
245                                                                                 [upholstery]
246                                                                     </div>
247                                                                         <div class="control-group mobile-control-group" id="[tid]_papers">
248                                                                                 [papers]
249                                                                     </div>
250                                                                         <div class="control-group mobile-control-group" id="[tid]_natis">
251                                                                                 [natis]
252                                                                     </div>
253                                                                         <div class="control-group mobile-control-group" id="[tid]_spareKeys">
254                                                                                 [spareKeys]
255                                                                     </div>
256                                                                         <div class="control-group mobile-control-group" id="[tid]_fullServiceHistory">
257                                                                                 [fullServiceHistory]
258                                                                     </div>
259                                                                         <div class="control-group mobile-control-group" id="[tid]_fshNotes">
260                                                                                 [fshNotes]
261                                                                     </div>
262
263                                                                     <!--  New HPI Report Here -->
264                                                                     <div class="HPIhide">
265                                                                             <div class="row-fluid hidden-phone" style="display: block;">&nbsp;</div>
266                                                                             <div class="hpiReport" style="display:block;">
267
268                                                                                     <div class="control-group mobile-control-group row-fluid" style="display: block;" id="test">
269                                                                                                 <div class="form-header span12 warning">TransUnion HPI (Accident) Report</div>
270                                                                                                 <div class="control-group mobile-control-group row-fluid" style="display: block;border:1px solid #d3d3d3;" id="">
271                                                                                                         <div class="control-group mobile-control-group span6" style="padding-left:10px; padding-top:13px;">Last date requested:</div>
272                                                                                                         <div class="control-group mobile-control-group span6" style="padding-left:10px;border-left:1px solid #d3d3d3; padding-top:13px;">
273                                                                                                                 <div id="tuhpiDate" class="span9">Not requested yet.</div>
274                                                                                                                 <div class="span3"><button id="downloadTuhpi" class="btn pull-right span12" type="button" style="display: none; margin:-5px 0 0 0;">view</button></div>
275                                                                                                         </div>
276                                                                                         </div>
277                                                                                         </div>
278                                                                                 </div>
279                                                                         </div>
280
281                                                                 </div>
282                                                                 </div>
283                                                         </div>
284                                                 </div><!-- wrapper ends -->
285                                         </div>
286                                         <div class="hidden-phone damages-form span4">
287                                                 <div id="damagesClick"  class="visible-phone mobile-form-headers open">
288                                                         <i class="mobile-bomb"></i>
289                                                         <p>
290                                                                 <span class="btn-content">
291                                                                 </span>
292                                                                 Damages
293                                                         </p>
294                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
295                                                 </div>
296                                                 <div id="damagesOpen">
297                                                         <p class="hidden-phone form-header">
298                                                         <img class="bomb" src="imgs/bomb.gif" alt=""> Damages</p>
299                                                         <div class="form-horizontal">
300                                                                 <span id="[tid]_damages">
301                                                                         [damages]
302                                                                 </span><br/>
303                                                                 <div class="" >
304                                                                         <p style="color:red">IMPORTANT: The estimated repair price is at best an estimate, which must be used as a guideline only.</p>
305                                                                 </div>
306                                                                 <span id="[tid]_damageNotes">
307                                                                         [damageNotes]
308                                                                 </span>
309                                                                 <div class="control-group mobile-control-group total-estimated">
310                                                                         <label class="total-estimated-label" for="inputTotalEstimated">Total estimated repair price:</label>
311                                                                         <div class="controls mobile-controls">
312                                                                           <p class="price" id="[tid]_damageTotal">[damageTotal]</p>
313                                                                         </div>
314                                                                 </div>
315                                                                 <div class="control-group mobile-control-group" id="[tid]_previousRepairsNoted">
316                                                                         [previousRepairsNoted]
317                                                                 </div>
318                                                                 <div class="control-group mobile-control-group" id="[tid]_previousRepairsNotes">
319                                                                         [previousRepairsNotes]
320                                                                 </div>
321                                                         </div>
322                                                 </div><!-- wrapper ends -->
323                                         </div>
324                                 </div>
325                                 <div class="row-fluid page-bottom-forms-wrapper">
326                                         <div class="accessories-form span4">
327                                                 <div id="accessoriesClick"  class="visible-phone mobile-form-headers open">
328                                                         <i class="mobile-headphones"></i>
329                                                         <p>
330                                                                 <span class="btn-content">
331                                                                 </span>
332                                                                 Accessories
333                                                         </p>
334                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
335                                                 </div>
336                                                 <div id="accessoriesOpen">
337                                                         <p class="hidden-phone form-header"><img class="headphones" src="imgs/headphones.gif" alt="">Accessories</p>
338                                                         <div class="form-horizontal">
339                                                                 <span id="[tid]_accessories">
340                                                                         [accessories]
341                                                                 </span>
342                                                                 <div class="comment-box" id="[tid]_accessoryNotes">
343                                                                         [accessoryNotes]
344                                                                 </div>
345                                                         </div>
346                                                 </div><!-- wrapper ends -->
347                                         </div>
348                                         <div class="photos-form span4">
349                                                 <div id="photoClick" class="visible-phone mobile-form-headers open">
350                                                         <i class="mobile-camera"></i>
351                                                         <p>
352                                                                 <span class="btn-content">
353                                                                 </span>
354                                                                 Photos
355                                                         </p>
356                                                         <i style="float:right;" class="icon-white-arrow-down"></i>
357                                                 </div>
358                                                 <div id="photo">
359                                                         <p class="hidden-phone form-header"><img class="camera" src="imgs/camera.gif" alt="">Photos</p>
360                                                         <div class="form-horizontal left-and-right-side">
361                                                                 <p class="instruction-paragraph">Click on the container to upload images from file:</p>
362                                                                 <p class="warning-paragraph">Maximum of eight photos allowed</p>
363                                                                 <div class="column-left">
364                                                                         <span id="[tid]_mainImage">[mainImage]</span>
365                                                                         <span id="[tid]_leftImage">[leftImage]</span>
366                                                                         <span id="[tid]_backImage">[backImage]</span>
367                                                                         <span id="[tid]_engineImage">[engineImage]</span>
368                                                                 </div>
369                                                                 <div class="column-left">
370                                                                         <span id="[tid]_frontImage">[frontImage]</span>
371                                                                         <span id="[tid]_rightImage">[rightImage]</span>
372                                                                         <span id="[tid]_interiorImage">[interiorImage]</span>
373                                                                         <span id="[tid]_natisImage">[natisImage]</span>
374                                                                 </div>
375                                                         </div>
376                                                 </div><!-- wrapper ends -->
377                                         </div>
378                                         <div class="select-valuator span4">
379                                                 <div class="btn-wrapper">
380                                                         <div class="top-grey-set">
381                                                                 <button type="button" id="optSendToPg" class="btn send-to-price-btn hide" onClick="$('#dropPg').slideToggle();">
382                                                                         Send to price guide
383                                                                 </button>
384                                                                 <button type="button" id="optSendToSales" class="btn send-to-sales-btn hide" onClick="$('#dropCmp').slideToggle();">Send to sales</button>
385                                                                 <button type="button" id="btnUnarchive" class="btn hide">Unarchive</button>
386                                                         </div>
387                                                         <div id="dropPg" class="well well-small well-dark dropSlide hide">
388                                                                 <div class="control-group mobile-control-group" id="[tid]_clubs">
389                                                                         [clubs]
390                                                             </div>
391                                                             <button type="button" class="btn btn-success pull-right" id="btnSendToPg">Send to price guide</button>
392                                                             &nbsp;<br/>&nbsp;
393                                                         </div>
394                                                         <div id="dropCmp" class="well well-small well-dark dropSlide hide">
395                                                                 <div class="control-group mobile-control-group" id="[tid]_salesProfile">
396                                                                         [salesProfile]
397                                                             </div>
398                                                                 <div class="control-group mobile-control-group" id="[tid]_salesAmountOffered">
399                                                                         [salesAmountOffered]
400                                                             </div>
401                                                                 <div class="control-group mobile-control-group" id="[tid]_salesComments">
402                                                                         [salesComments]
403                                                             </div>
404                                                             <button type="button" class="btn btn-success pull-right" id="btnSendToSales">Send to sales</button>
405                                                             &nbsp;<br/>&nbsp;
406                                                         </div>
407                                                         <div class="bottom-grey-set">
408                                                                 <span id="[tid]_print">
409                                                                         [print]
410                                                                 </span>
411                                                                 <button type="button" id="btnArchive" class="btn archive-btn hide">Archive</button>
412                                                                 <button type="button" id="btnSendToStock" class="btn add-to-stock-btn hide" onClick="$('#dropStock').slideToggle();">Add to stock</button>
413                                                         </div>
414                                                         <div id="dropStock" class="well well-small well-dark dropSlide hide">
415                                                                 <div class="control-group mobile-control-group" id="[tid]_stockNumber">
416                                                                         [stockNumber]
417                                                             </div>
418                                                             <label for="acceptStockHPIdisclaimer" style="font-size:12px;">
419                                                                 <input id="acceptStockHPIdisclaimer" type="checkbox">
420                                                                 I agree that the Vin, Engine and Reg number entered is as per the Natis document, in order for Transunion Reports to be drawn.
421                                                             </label>
422                                                             <br/><br/>
423                                                             <button type="button" class="btn btn-success pull-right" id="doSendToStock">Send to stock</button>
424                                                               <button type="button" class="btn btn-success pull-right hide" id="doRemoveAccept">Accept Offer</button>
425                                                             &nbsp;<br/>&nbsp;
426                                                         </div>
427                                                         <div class="colored-btn-set">
428                                                                 <button type="button" id="btnSendToDealDone" class="btn btn-success save-and-send-btn hide">Save &amp; send to Deal Done</button>
429                                                                 <button type="button" id="btnSendToDealNotDone" class="btn btn-danger save-and-send-btn hide" >Save &amp; send to Deal Not Done</button>
430                                                                 <button type="button" id="btnRemoveAccept" class="btn btn-success save-and-send-btn hide" onClick="$('#dropDealDone').slideToggle();">Deal Done / Accept Highest Offer</button>
431                                                                 <button type="button" id="btnAcceptOffer" class="btn btn-success save-and-send-btn hide" onClick="$('#dropDealDone').slideToggle();">Deal Done / Accept Highest Offer</button>
432                                                                 <div id="dropDealDone" class="well well-small well-dark dropSlide hide">
433                                                                         <div id="dealDoneOfferList">Loading...<br/></div>
434                                                                     <button type="button" class="btn btn-success pull-right hide" id="doAcceptOffer">Accept Offer</button>
435                                                                     <button type="button" class="btn btn-success pull-right" id="doRemoveAcceptSlider">Accept Offer Here</button>
436                                                                     &nbsp;<br/>&nbsp;
437                                                                 </div>
438                                                                 <button type="button" id="btnKeepForStock" class="btn btn-danger save-and-send-btn hide">Deal Done / Keep for Stock</button>
439                                                                 <button type="button" id="btnRemove" class="btn btn-danger save-and-send-btn hide">Deal Done / Keep for Stock</button>
440                                                                 <button type="button" id="btnExpire" class="btn btn-danger save-and-send-btn hide">Remove from Price Guide</button>
441                                                                 <button type="button" id="btnB4cAccidentReport" class="btn btn-danger Bid4cars-btn hide" disabled>Request Bid4cars accident report</button>
442                                                                 <button type="button" id="btnBwmAccidentReport" class="btn btn-warning bmw-btn hide" disabled>Request BMW accident report</button>
443                                                                 <button type="button" id="btnSaveAsPending" class="btn btn-primary save-and-send-btn hide">Save &amp; send to pending valuation</button>
444                                                         </div>
445                                                 </div>
446                                         </div>
447
448                                         <div class="row-fluid page-middle-forms-wrapper">
449                                         <div class="vehicle-specs-form span4"> &nbsp;</div>
450                                         <div id="pricinghistory" class="vehicle-specs-form span4">
451
452                                                 <p class="hidden-phone form-header pricinghistory"><img class="pricinghistoryimg" src="imgs/icon-pricingHistory.png" alt="">Pricing History</p>
453                                                 <div class="form-horizontal short">
454                                                         <div class="row-fluid">
455                                                         <div class="span12">Please note: This history section includes the last 10 entries for the past 3 months</div>
456                                                         </div>
457                                                         <div class="row-fluid">&nbsp;</div>
458                                                         <div class="row-fluid">
459                                                         <div class="span12">
460
461                                                                         <div class="row-fluid table-form">
462                                                                                 <div class="span12">
463                                                                                         <table class="table" id="PHColumnHeaders">
464
465                                                                                                 <tr class="table-header table-header-wrapper" id="[tid]_gridPricingHistoryColumnHeaders">
466
467                                                                                                 </tr>
468
469                                                                                                 <tbody class="grid" id="[tid]_gridPricingHistoryRowRepeater">
470                                                                                                         <span id = "pricing_history_none_found" style="display:none;" ><strong>There were no vehicles loaded for the past 3 months on the system for this selection.</strong></span>
471                                                                                                 </tbody>
472                                                                                         </table>
473                                                                                 </div>
474                                                                         </div>
475
476
477                                                         </div>
478
479                                                         </div>
480                                                 </div>
481                                         </div>
482
483                                 </div>
484                         </form>