{literal}
	<style>
	.msg-notice{background-color:white;}
	form#FrmInput {
    margin-left: 5px;
    margin-right: -35px;
	</style>
{/literal}


{literal}
<SCRIPT language='javascript'>
$(document).ready(function(){
	$(".req").hide();
	$('.password_class').attr('style','display : none !important');
	$('.confirm_password_class').attr('style','display : none !important');
	
	$('#email').blur(function(){
		$('.password_class').attr('style','display : none !important');
		$('.confirm_password_class').attr('style','display : none !important');
	var email =$('#email').val().trim();
	if(isEmail(email)){
	$.ajax({
		  url: 'dmp.php',
		  type: 'POST',
		  data: {email:email, action: 'register_user'},
		  success: function(result) {
			//called when successful
			if($.trim(result) != "no")
			{	
				$(".password_class").removeAttr('style');	
				$("#account_password").focus();	

                

				//$("#register_email").html(result);								
			}	
			else
			{	
				$(".password_class").removeAttr('style');	
				$(".confirm_password_class").removeAttr('style');	
				$("#account_password").focus();
				//$("#register_email").hide();								
			}
		  },
		  error: function(e) {
			//called when there is an error
			//console.log(e.message);
		  }
		});	
	}
	
		
	});
	//DisplayCountry();
});
</SCRIPT>
{/literal}

<div class="page-signup wrap {class file=$smarty.template editable=true}">
<script type="text/javascript" language="javascript">
var ship2countries = new Array();
{if $ship2countries == "all"}
var ship2all = true;
{else}
var ship2all = false;
{section name=sc loop=$ship2countries}
ship2countries[{$smarty.section.sc.iteration}] = {$ship2countries[sc]};
{/section}
{/if};
</script>
<script language="javascript" type="text/javascript">
var countriesStates = {$countries_states};
{literal}
$(document).ready(function(){
setCountriesStates(
{/literal}
"#billing_country", "{$cookie_country}",
"#billing_state", "{$cookie_state}",
"#billing_province", "{$cookie_state}",
countriesStates
{literal}
);
});
{/literal}
{literal}
function showCheck(val){
var myarray=new Array(2)
if(val==0)
{
document.getElementById('div_checkmain').style.display='block';
}
else if(val==1)
document.getElementById('div_checkmain').style.display='none';
else
document.getElementById('div_checkmain').style.display='none';
}
{/literal}
{literal}
//var new1 = Array();
function removeByElement(arrayName,arrayElement)
{ 
for(var i=0; i<arrayName.length;i++ )
{ 
if(arrayName[i]==arrayElement)
arrayName.splice(i,1); 
} 
}
{/literal}
</script>

<section>
    <div id="product-detail-content">
      <div class="main-wrapper">
      	<div class="ewuipment-visitor-mobilediv">
		 
		{if empty($category_level)}
		{assign var="category_level" value=1}
		{else}
		{math equation="x + 1" x=$category_level assign="category_level"}
		{/if}
		<h3><center>SELL MY EQUIPMENT</center><br><center>We BUY & CONSIGN Used Equipment</center></h3>	
		
		{if $insertsuccess=='ok'}
		<div class="spacer">
		   <p>
		   <center><b><span style="color:green;">Thank You !<br>
			  Your Sell My Equipment Form Was Submitted Successfully</span></b>
		   </center>
		   <br><br>
		   Thank you for sending PavementGroup.com details on your <b>Equipment For Sale</b>. We may be genuinely interested in purchasing it! You will receive an email notification showing the details you submitted to us. You can reply to that email, attach and send us your photos.<br><br>
		   To help us make a purchase decision, provide as much detail as you can along with clear, high resolution photos.<br><br>
		   <b>
		  <span class="span_sale"> <a href="{$url_https}p=my_equipment" style="color:blue;">Submit Another Item For Sale</a></span><br>
		  <span class="span_home"><a href="{$url_https}" style="color:blue;">Return to Home Page</a></span><br>
		   </b><br>
		   Thank you,<br>
		   PavementGroup.com Team
		   </p><br>
		   {if $auto_login == "yes"}
<!--
		   <form id="automatic_login" method="post" action="index.php?p=login">
			  <input type="hidden" value="user_login" name="ua">
			  <input type="hidden" name="var" value="auto_login">
			  <input type="hidden" value="{$dmp_login}" name="login" id="login_dmp" >
			  <input type="hidden" value="{$dmp_password}" name="password" id="password">
		   </form>
-->
		   {literal}
<!--
		   <script type="text/javascript">
			  $(document).ready(function(){
				setTimeout(function(){
							
					$( "#automatic_login" ).submit();
						 
				 }, 1000);
			  });
		   </script>
-->
		   {/literal}
		   {/if}
		</div>
		{else}
		<div class="spacer">
		   <p>
			  Simply fill out the form below, <b>OR <a href="{$url_https}p=login&var=equipment">LOGIN</a> or <a href="{$url_https}p=signup&var=equipment">Create Account</a></b><br><br> 
			  This is a FREE no cost service. We are paid by the buyer after a successful sale.Our profit is the difference between your asking price and our sale price.
			  <br><br>
			  <span style="color:#0000ff;">Call Us Now: 1-518-218-7676</span>
		   </p>
		   <br>
		   <FORM id="FrmInput" name="FrmInput" action="{$url_https}p=my_equipment_visitor" method="post" onsubmit="return validateFields();" enctype="multipart/form-data"> 
			  <input type="hidden" id="formaction" name="formaction" value="post" />
			  <input type="hidden" name="create_ac" checked id="create_ac" value="yes"/>
			  
			  <TABLE width="100%" border="0" cellpadding="5" cellspacing="5">
				 <TR>
					<TD align="left" class="pk1">
					   <FONT color="red">*</FONT> - required field <br>
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   <font class="msg-notice"><b>Whats Your Best Price?: $</b></font>
					</TD>
					<TD>
					   <INPUT type="text" name="price" id="price" size="25" class="formTextbox" value="{if $userdata.price|htmlspecialchars}{else}{$price}{/if}" 
						  >
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right" valign="top">
						<FONT color="red">*</FONT>
					   <font><b>Describe Equipment for sale:</b><br>Please Provide Category / Mfg / Model / Year / Condition / Hours / Asking Price</font>
					</TD>
					<TD>
					   <TEXTAREA name="description" id="description" rows="12" cols="30">{if $userdata.description|htmlspecialchars}{else}{$description}{/if}</TEXTAREA>
					</TD>
				 </TR>
				 <TR>
					 <TD class="pk1" align="right" valign="top">
					   <font class="msg-notice"><b>Upload Photos:</b></font>
					</TD>
					<TD> 
						<input type="file" name="equi_files[]" multiple class="ui-input-text ui-body-c">
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   {if $errmsg.email != ''}
					   <font color=red>Email:</font>
					   {else}
					   <font class="msg-notice" align="top"><b>Email:</b></font>
					   {/if}
					   <!-- <br>We don't share your email or personal information -->
					</TD>
					<TD>
					   <INPUT type="text" maxlength="50" name="email" id="email" size="20" class="formTextbox" value="{if $cookie_email}{$cookie_email}{else}{if $userdata.email|htmlspecialchars}{else}{$email}{/if}{/if}" >
					   <span id="register_email" ></span>
					</TD>
				 </TR>
				 <TR class="password_class" >
					<TD class="pk1" align="right" valign="top" >
					   <FONT color="red">*</FONT>
					   <font class="msg-notice"><b>Password <span style="display:none" class="min_pass">(min - 6 chars)</span> :</b></font>
					</TD>
					<TD>
					   <input type="password" value="" name="password" maxlength="24" id="account_password">
					</TD>
				 </TR>
				 
				 <TR class="confirm_password_class" >
					<TD class="pk1" align="right" valign="top">
					   <FONT color="red">*</FONT>
					   <font class="msg-notice"><b>Confirm Password:</b></font>
					</TD>
					<TD>
					   <input type="password" value="" name="password2" maxlength="24" id="account_password_confirm">
					</TD>
				 </TR>
				 <TR><TD>
				 <p style="color: #5f5f5f !important;font-size: 12px;">We do 'not' share your information with anyone. By selecting 'Submit', I agree to the <a href="security-privacy" style="color: #0090c0;">Privacy Policy</a> & <a href="terms-and-conditions" style="color: #0090c0;"> Terms of Use</a> </p>
				 </TD></TR>
				 
				 <TR>
					<TD> 
						<center><input type="submit" name="save" value="Submit" class="formButton" ></center>
					</TD>
				 </TR>
				 </TABLE>
				 </FORM>
				 
				 
			<FORM id="FrmInput" name="FrmInput" action="{$url_https}p=my_equipment_visitor" method="post" onsubmit="return validateAllFields();" enctype="multipart/form-data">
			  <input type="hidden" id="formaction" name="formaction" value="post" />
			  <INPUT type="hidden" name="price" id="price_copy" size="25" class="formTextbox" value="{if $userdata.price|htmlspecialchars}{else}{$price}{/if}" >
			  <TEXTAREA hidden name="description" style="display:none;" id="description_copy" rows="12" cols="30">{if $userdata.description|htmlspecialchars}{else}{$description}{/if}</TEXTAREA>
			  <INPUT type="hidden" name="email" id="email_copy" size="20" class="formTextbox" value="{if $cookie_email}{$cookie_email}{else}{if $userdata.email|htmlspecialchars}{else}{$email}{/if}{/if}" >
			  <input type="hidden" value="" name="password" maxlength="24" id="account_password_copy">
			  <input type="hidden" name="create_ac" checked id="create_ac" value="yes"/>
				<input type="file" name="equi_files[]" multiple class="ui-input-text ui-body-c" style="display:none">		
			  <TABLE width="100%" border="0" cellpadding="5" cellspacing="5">
			
				 
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   {if $errmsg.company != ''}
					   <font color=red>Company:</font>
					   {else}
					   <font class="msg-notice"><b>Company:</b></font>
					   {/if}
					</TD>
					<TD>
					   <INPUT type="text" name="company" id="company" size="25" class="formTextbox" value="{if $cookie_company}{$cookie_company}{else}{if $userdata.company|htmlspecialchars}{else}{$company}{/if}{/if}" 
						 >
					</TD>
				 </TR>
<!--
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   <font class="msg-notice"><b>Item:</b></font>
					</TD>
					<TD>
					   <INPUT type="text" name="item" id="item" size="25" class="formTextbox" value="{if $userdata.item|htmlspecialchars}{else}{$item}{/if}" 
						  >
					</TD>
				 </TR>
-->
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   {if $errmsg.fname != ''}
					   <font color=red>First Name:</font>
					   {else}
					   <font class="msg-notice"><b>First Name:</b></font>
					   {/if}
					</TD>
					<TD>
					   <INPUT type="text" name="fname" id="fname" size="25" class="formTextbox" value="{if $cookie_fname}{$cookie_fname}{else}{if $userdata.fname|htmlspecialchars}{else}{$fname}{/if}{/if}" 
						  
						  >
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   {if $errmsg.lname != ''}
					   <font color=red>Last Name:</font>
					   {else}
					   <font class="msg-notice"><b>Last Name:</b></font>
					   {/if}
					</TD>
					<TD>
					   <INPUT type="text" name="lname" id="lname" size="25" class="formTextbox" value="{if $cookie_lname}{$cookie_lname}{else}{if $userdata.lname|htmlspecialchars}{else}{$lname}{/if}{/if}" 
						  
						  >
					</TD>
				 </TR>
<!--
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   <font class="msg-notice"><b>Job Title:</b></font>
					</TD>
					<TD>
					   <INPUT type="text" name="title" id="title" size="25" class="formTextbox" value="{if $cookie_title}{$cookie_title}{else}{if $userdata.title|htmlspecialchars}{else}{$title}{/if}{/if}" 
						  >
					</TD>
				 </TR>
-->
				 
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   {if $errmsg.phone != ''}
					   <font color=red>Phone:</font>
					   {else}
					   <font class="msg-notice"><b>Phone:</b></font>
					   {/if}
					</TD>
					<TD>
					   <INPUT type="text" name="phone" id="phone" size="20" class="formTextbox" value="{if $cookie_phone}{$cookie_phone}{else}{if $userdata.phone|htmlspecialchars}{else}{$phone}{/if}{/if}"
						  >
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					   <font class="msg-notice"><b>Address 1:</b></font>
					</TD>
					<TD>
					   <INPUT type="text" name="addr1" id="addr1" size="25" class="formTextbox" value="{if $cookie_addr1}{$cookie_addr1}{else}{if $userdata.address1|htmlspecialchars}{else}{$addr1}{/if}{/if}"
						  >
					</TD>
				 </TR>
<!--
				 <TR>
					<TD class="pk1" align="right">
					   <font class="msg-notice"><b>Address 2:</b></font>
					</TD>
					<TD>
					   <INPUT type="text" name="addr2" id="addr2" size="25" class="formTextbox" value="{if $cookie_addr2}{$cookie_addr2}{else}{if $userdata.address2|htmlspecialchars}{else}{$addr2}{/if}{/if}"
						  >
					</TD>
				 </TR>
-->
				 <TR>
					<TD class="pk1" align="right">
					   
					   {if $errmsg.city != ''}
					   <font color=red>City/Town:</font>
					   {else}
					   <font class="msg-notice"><b>City/Town:</b></font>
					   {/if}
					</TD>
					<TD>
					   <INPUT type="text" name="city" id="city" class="formTextbox" value="{if $cookie_city}{$cookie_city}{else}{if $userdata.city|htmlspecialchars}{else}{$city}{/if}{/if}" >
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					   <FONT color="red">*</FONT>
					   {if $errmsg.state != ''}
					   <font color=red>State/Province/Territory:</font>
					   {else}
					   <font class="msg-notice"><b>State/Province/Territory:</b></font>
					   {/if}
					</TD>
					<TD>
					   <!-- billing_state -->	
					   <div id="billing_state" class=" fieldset field required invisible clearfix" id="div_billing_address_state">
						  <select id="cmbUSAState" name="cmbUSAState" class="formSelect" onChange='javascript:AssignState(this.value);' ></select>
					   </div>
					   <!-- billing_province -->
					   <div id="billing_province" class=" fieldset field required invisible clearfix" id="div_billing_address_province">
						  <input id="txtOtherState"   MaxLength="100" type="text" name="txtOtherState" value="{$dmp_state}" class='stdTextField1' onchange='javascript:AssignState(this.value);'/>
					   </div>
					   <INPUT Type='hidden'   MaxLength="100"  name='_OfficeState93262' id='_OfficeState93262' value=" " class="stdTextField1"><SPAN id='DivUS'>
					   <!--<SELECT name="cmbUSAState" id="cmbUSAState" style="width:204px;" class="formSelect" onChange='javascript:AssignState(this.value);'>
						  <OPTION value=''></OPTION>
						  <OPTION size="30" {if $dmp_state == 'AL'}selected{/if} value='AL'>Alabama</OPTION>
						  <OPTION size="30" value='AK' {if $dmp_state == 'AK'}selected{/if}>Alaska</OPTION>
						  <OPTION size="30" value='AZ' {if $dmp_state == 'AZ'}selected{/if}>Arizona</OPTION>
						  <OPTION size="30" value='AR' {if $dmp_state == 'AR'}selected{/if}>Arkansas</OPTION>
						  <OPTION size="30" value='CA' {if $dmp_state == 'CA'}selected{/if}>California</OPTION>
						  <OPTION size="30" value='CO' {if $dmp_state == 'CO'}selected{/if}>Colorado</OPTION>
						  <OPTION size="30" value='CT' {if $dmp_state == 'CT'}selected{/if}>Connecticut</OPTION>
						  <OPTION size="30" value='DE' {if $dmp_state == 'DE'}selected{/if}>Delaware</OPTION>
						  <OPTION size="30" value='DC' {if $dmp_state == 'DC'}selected{/if}>District of Columbia</OPTION>
						  <OPTION size="30" value='FL' {if $dmp_state == 'FL'}selected{/if}>Florida</OPTION>
						  <OPTION size="30" value='GA' {if $dmp_state == 'GA'}selected{/if}>Georgia</OPTION>
						  <OPTION size="30" value='HI' {if $dmp_state == 'HI'}selected{/if}>Hawaii</OPTION>
						  <OPTION size="30" value='ID' {if $dmp_state == 'ID'}selected{/if}>Idaho</OPTION>
						  <OPTION size="30" value='IL' {if $dmp_state == 'IL'}selected{/if}>Illinois</OPTION>
						  <OPTION size="30" value='IN' {if $dmp_state == 'IN'}selected{/if}>Indiana</OPTION>
						  <OPTION size="30" value='IA' {if $dmp_state == 'IA'}selected{/if}>Iowa</OPTION>
						  <OPTION size="30" value='KS' {if $dmp_state == 'KS'}selected{/if}>Kansas</OPTION>
						  <OPTION size="30" value='KY' {if $dmp_state == 'KY'}selected{/if}>Kentucky</OPTION>
						  <OPTION size="30" value='LA' {if $dmp_state == 'LA'}selected{/if}>Louisiana</OPTION>
						  <OPTION size="30" value='ME' {if $dmp_state == 'ME'}selected{/if}>Maine</OPTION>
						  <OPTION size="30" value='MD' {if $dmp_state == 'MD'}selected{/if}>Maryland</OPTION>
						  <OPTION size="30" value='MA' {if $dmp_state == 'MA'}selected{/if}>Massachusetts</OPTION>
						  <OPTION size="30" value='MI' {if $dmp_state == 'MI'}selected{/if}>Michigan</OPTION>
						  <OPTION size="30" value='MN' {if $dmp_state == 'MN'}selected{/if}>Minnesota</OPTION>
						  <OPTION size="30" value='MS' {if $dmp_state == 'MS'}selected{/if}>Mississippi</OPTION>
						  <OPTION size="30" value='MO' {if $dmp_state == 'MO'}selected{/if}>Missouri</OPTION>
						  <OPTION size="30" value='MT' {if $dmp_state == 'MT'}selected{/if}>Montana</OPTION>
						  <OPTION size="30" value='NE' {if $dmp_state == 'NE'}selected{/if}>Nebraska</OPTION>
						  <OPTION size="30" value='NV' {if $dmp_state == 'NV'}selected{/if}>Nevada</OPTION>
						  <OPTION size="30" value='NH' {if $dmp_state == 'NH'}selected{/if}>New Hampshire</OPTION>
						  <OPTION size="30" value='NJ' {if $dmp_state == 'NJ'}selected{/if}>New Jersey</OPTION>
						  <OPTION size="30" value='NM' {if $dmp_state == 'NM'}selected{/if}>New Mexico</OPTION>
						  <OPTION size="30" value='NY' {if $dmp_state == 'NY'}selected{/if}>New York</OPTION>
						  <OPTION size="30" value='NC' {if $dmp_state == 'NC'}selected{/if}>North Carolina</OPTION>
						  <OPTION size="30" value='ND' {if $dmp_state == 'ND'}selected{/if}>North Dakota</OPTION>
						  <OPTION size="30" value='OH' {if $dmp_state == 'OH'}selected{/if}>Ohio</OPTION>
						  <OPTION size="30" value='OK' {if $dmp_state == 'OK'}selected{/if}>Oklahoma</OPTION>
						  <OPTION size="30" value='OR' {if $dmp_state == 'OR'}selected{/if}>Oregon</OPTION>
						  <OPTION size="30" value='Other' {if $dmp_state == 'OTHER'}selected{/if}>Other</OPTION>
						  <OPTION size="30" value='PA' {if $dmp_state == 'PA'}selected{/if}>Pennsylvania</OPTION>
						  <OPTION size="30" value='PR' {if $dmp_state == 'PR'}selected{/if}>Puerto Rico</OPTION>
						  <OPTION size="30" value='RI' {if $dmp_state == 'RI'}selected{/if}>Rhode Island</OPTION>
						  <OPTION size="30" value='SC' {if $dmp_state == 'SC'}selected{/if}>South Carolina</OPTION>
						  <OPTION size="30" value='SD' {if $dmp_state == 'SD'}selected{/if}>South Dakota</OPTION>
						  <OPTION size="30" value='TN' {if $dmp_state == 'TN'}selected{/if}>Tennessee</OPTION>
						  <OPTION size="30" value='TX' {if $dmp_state == 'TX'}selected{/if}>Texas</OPTION>
						  <OPTION size="30" value='UT' {if $dmp_state == 'UT'}selected{/if}>Utah</OPTION>
						  <OPTION size="30" value='VT' {if $dmp_state == 'VT'}selected{/if}>Vermont</OPTION>
						  <OPTION size="30" value='VA' {if $dmp_state == 'VA'}selected{/if}>Virginia</OPTION>
						  <OPTION size="30" value='WA' {if $dmp_state == 'WA'}selected{/if}>Washington</OPTION>
						  <OPTION size="30" value='WV' {if $dmp_state == 'WV'}selected{/if}>West Virginia</OPTION>
						  <OPTION size="30" value='WI' {if $dmp_state == 'WI'}selected{/if}>Wisconsin</OPTION>
						  <OPTION size="30" value='WY' {if $dmp_state == 'WY'}selected{/if}>Wyoming</OPTION>
						  </SELECT></SPAN><SPAN id='DivCanada' style="display:none">
						  <SELECT name="cmbCanadaState" id="cmbCanadaState" class="formSelect" style="width:204px" onChange='javascript:AssignState(this.value);'>
						  <OPTION value=''></OPTION>
						  <OPTION size="30" value='Alberta' {if $dmp_state == 'Alberta'}selected{/if}>Alberta</OPTION>
						  <OPTION size="30" value='British Columbia' {if $dmp_state == 'British Columbia'}selected{/if}>British Columbia</OPTION>
						  <OPTION size="30" value='Manitoba' {if $dmp_state == 'Manitoba'}selected{/if}>Manitoba</OPTION>
						  <OPTION size="30" value='New Brunswick' {if $dmp_state == 'New Brunswick'}selected{/if}>New Brunswick</OPTION>
						  <OPTION size="30" value='Newfoundland' {if $dmp_state == 'Newfoundland'}selected{/if}>Newfoundland</OPTION>
						  <OPTION size="30" value='Northwest Territories' {if $dmp_state == 'Northwest Territories'}selected{/if}>Northwest Territories</OPTION>
						  <OPTION size="30" value='Nova Scotia' {if $dmp_state == 'Nova Scotia'}selected{/if}>Nova Scotia</OPTION>
						  <OPTION size="30" value='Nunavut' {if $dmp_state == 'Nunavut'}selected{/if}>Nunavut</OPTION>
						  <OPTION size="30" value='Ontario' {if $dmp_state == 'Ontario'}selected{/if}>Ontario</OPTION>
						  <OPTION size="30" value='Prince Edward Island' {if $dmp_state == 'Prince Edward Island'}selected{/if}>Prince Edward Island</OPTION>
						  <OPTION size="30" value='Quebec' {if $dmp_state == 'Quebec'}selected{/if}>Quebec</OPTION>
						  <OPTION size="30" value='Saskatchewan' {if $dmp_state == 'Saskatchewan'}selected{/if}>Saskatchewan</OPTION>
						  <OPTION size="30" value='Yukon' {if $dmp_state == 'Yukon'}selected{/if}>Yukon</OPTION>
						  </SELECT>
						  -->
					   <!--</SPAN><SPAN id='DivOthers' style="display:none">
						  <INPUT Type=text style="width:200px;"  MaxLength="100"  id='txtOtherState' name='txtOtherState' value="{$dmp_state}" class='stdTextField1' onchange='javascript:AssignState(this.value);'></SPAN>-->
					   {literal}
					   <SCRIPT language='javascript'>
						   function AssignState(strState)
						  {			//alert('in');
								//alert(strState);
							 // console.log(strState);
						 // document.FrmInput._OfficeState93262.value = strState;
						 $('#_OfficeState93262').val(strState);
						  }
					   </SCRIPT>
					   {/literal}
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					   {if $errmsg.zip != ''}
					   <font color=red>Zip/Postal Code:</font>
					   {else}
					   <font class="msg-notice"><b>Zip/Postal Code:</b></font>
					   {/if}
					</TD>
					<TD>
					   <INPUT type="text" name="zip" id="zip" size="7" maxlength="10" class="formTextbox" value="{if $cookie_zip}{$cookie_zip}{else}{if $userdata.zip|htmlspecialchars}{else}{$zip}{/if}{/if}" >
					</TD>
				 </TR>
				 <TR>
					<TD class="pk1" align="right">
					  
					   {if $errmsg.country != ''}
					   <font color=red>Country:</font>
					   {else}
					   <font class="msg-notice"><b>Country:</b></font>
					   {/if}
					</TD>
					<TD>
					   <div id="billing_country" class="fieldset field required clearfix">
						  <select id="_OfficeCountry93259" name="_OfficeCountry93259">
							 <option value="1"></option>
						  </select>
					   </div>

					   {literal}
					   <SCRIPT language='javascript'>
						  function DisplayCountry() {
						  var strDisplayUSA, strDisplayCanada, strDisplayOther;
						  var strCountry;
						  strDisplayUSA = 'none';
						  strDisplayCanada='none';
						  strDisplayOther = 'none';
						  strCountry = document.getElementById('_OfficeCountry93259').value;
						  if (strCountry == 'USA'){
						  document.FrmInput.txtOtherState.value = '';
						  strDisplayUSA = '';
						  AssignState(document.FrmInput.cmbUSAState.value);
						  } else if (strCountry == 'Canada'){
						  document.FrmInput.txtOtherState.value = '';
						  strDisplayCanada = '';
						  AssignState(document.FrmInput.cmbCanadaState.value);
						  }else{
						  strDisplayOther = '';
						  AssignState(document.FrmInput.txtOtherState.value);
						  };
						  if(navigator.appName == 'Netscape') {
						  document.getElementById('DivUS').style.display     = strDisplayUSA;
						  document.getElementById('DivCanada').style.display = strDisplayCanada;
						  document.getElementById('DivOthers').style.display = strDisplayOther;
						  }else {
						  document.all.DivUS.style.display= strDisplayUSA;
						  document.all.DivCanada.style.display= strDisplayCanada;
						  document.all.DivOthers.style.display= strDisplayOther;
						  };
						  }
					   </SCRIPT>
					   {/literal}
					</TD>
				 </TR>
				
<!--
				 <TR>
					<TD class="pk1" align="right" valign="top">
					   <input type="checkbox" name="consi_agree" id="consi_agree" value="yes" />
					</TD>
					<TD>
					   <label class="check_condi_label" for="consi_agree">I have read, and agree, to the Terms and Conditions
					   of PTIC&#39;s </label><br>
					   <a href="#TB_inline?height=600&width=1050&inlineId=hiddenModalContent" title="Consignment Agreement" class="thickbox" style="color:#0070c0"><u><b>Consignment Agreement</b></u></a>
					   <div id="hiddenModalContent" style="display: none">
						  <div style="padding: 0 20px 20px 30px;text-align: justify;">
							 <p>
								<b>
								<u>Consignment Agreement:</u> THIS AGREEMENT IS MADE by and between: Pavement Technologies International Corp., (herein referred to as 'PTIC') existing under the laws of NY with its principal place of business at 1525 Western Ave, Albany, NY and Supplier noted below (herein referred to as 'Supplier'), jointly referred to as 'Parties', and pertains to a consignment agreement between Parties, pertaining only to the item(s) (herein referred to as 'Item(s)') noted below.
								</b>
							 </p>
							 <p>
								<b>
								This agreement shall remain exclusive for 6 months, from signature date, during which time Supplier agrees to sell Item(s) solely through PTIC, and not to advertise or market said Item(s) through other parties, after which, agreement will become non-exclusive</b> and remainder of this Agreement shall remain in full force and effect.
							 </p>
							 <p>
								<b> </b>
							 </p>
							 <p>
								<b><u>Supplier agrees to non-circumvention:</u></b> Supplier understands that PTIC will introduce prospective Buyers (herein referred to as 'Buyers') and agrees not to circumvent PTIC, not to discuss pricing or sell to Buyers directly or through third party. Upon request from PTIC, Supplier may demonstrate and discuss item's condition and history with Buyers. Supplier agrees to refer all pricing questions to PTIC. This provision shall also survive the termination of this Agreement by a period of two years.
							 </p>
							 <p>
							 </p>
							 <p>
								Neither this Agreement nor any provision contained herein may be construed as creating or constituting a partnership or joint venture between Parties hereto. The relationship created hereby is strictly that of consignor and consignee. Other than the terms of this Agreement, neither party hereto has the power or authority to, and no party hereto may, assume or create any obligation or responsibility, express or implied, on behalf of the other.
							 </p>
							 <p>
							 </p>
							 <p>
								This Agreement supersedes any and all prior representations, conditions, warranties, understandings, proposals of previous agreements between Supplier and PTIC, oral or written, relating to the subject matter hereof and constitutes the complete agreement between the Parties. Should any of the provisions of this Agreement be found to be invalid by a court of competent jurisdiction, that portion shall be deemed severed or restricted and the remainder of this Agreement shall remain in full force and effect.
							 </p>
							 <p>
							 </p>
							 <p>
								The Parties may execute and transmit signed Agreement in written form, by facsimile, email or e-signature (via PavementGroup.com website) and Parties shall be entitled to rely on such as evidence that this signed Agreement has been duly executed by such party.
							 </p>
							 <p>
							 </p>
							 <p>
								In case there is any non-performance and/or violation of the terms and conditions under the Agreement, Parties hereto shall do their best to settle the matter in question as promptly and amicably as possible and to their mutual satisfaction. Any dispute, action or claim arising out of or in connection with this Agreement may by mutual agreement be referred to the arbitration in NY of a single arbitrator appointed by agreement between Parties.
							 </p>
							 <p>
							 </p>
							 <p>
								This Agreement will be governed and construed in accordance with the laws of the United States of America, State of New York, without regard to the conflicts of law principles of any jurisdiction. Each party (a) irrevocably consents and submits to the jurisdiction of any State or Federal court sitting in New York with respect to any action or claim or other proceeding connected with this Agreement in any way whatsoever, (b) irrevocably waives the defense of forum non conveniens, (c) acknowledges that a final judgment in any such action or proceeding in the State of New York will be conclusive and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by law, (d) consents to personal and subject matter jurisdiction of any state or federal court sitting in New York.
							 </p>
							 <p>
								If agreeable between Parties, Supplier may accept from PTIC a lower price for Item(s) than indicated herein. Seller agrees to disclose any liens on item(s). Upon purchase, PTIC will first apply purchase funds toward the open bank liens on item(s) and balance will be paid to Supplier.  Any lien balance amount in excess of the purchase prices is the responsibility of, and will be paid by, the Supplier.
							 </p>
							 <p>
								<b> </b>
							 </p>
							 <b>
							 Item(s) Description: <span id="pop_item"></span><br>
							 Supplier Price USD: <span >$<span id="pop_price">0</span> (<span id="pop_price_word">zero</span> Dollars)</span><br>
							 </b>
							 <br>
							 <b style="color:#f00;">
							 Agreement Date: {$pdf_date}<br>
							 Supplier - Business Name: <span id="pop_company">_______________</span><br>
							 Supplier - Representative Name: <span id="pop_officer">____________________</span><br>
							 Supplier - Representative Title: <span id="pop_title">_________________</span><br>
							 </b>
							 <p>
								As conclusive evidence of their acceptance of the terms and conditions of this Agreement, Parties and all their affiliated companies and entities execute this Agreement:	
							 </p>
							 <b style="color:#f00;">
							 Supplier Signature: <span id="pop_sign" style="text-transform: uppercase;font-family:times new roman"> ___________________</span>
							 </b>
							 <b>
							 <br/>
							 </b>
							 <p> 
								<b>PTIC: Pavement Technologies International Corp. </b>Mark Reeves, President    
							 </p>
							 <img src="images/pdf_signature.jpg" style="margin-left: 442px;margin-top: -31px;width: 28%;"/>
						  </div>
					   </div>
					</TD>
				 </TR>
					 <TR>
						<TD class="pk1" align="right" valign="top">
						   <input type="checkbox" name="create_ac" id="create_ac" value="yes" />
						</TD>
						<TD>
						   <label for="create_ac">Create an account with us</label>
						</TD>
					 </TR>
-->
				 <!--</TD>
				 </TR>-->
				
				 <!--<tr>
					<td>
					<script>
					  var a = Math.ceil(Math.random() * 10);
						var b = Math.ceil(Math.random() * 10);       
						var c = a + b;
					 document.write("What is "+ a + " + " + b +"? ");
					 </script>
					 </td>
					 <td>
						  <input id='BotBootInput' type='text' maxlength='2' size='2' style="width:150px;"/>	
					  </td>
					  </tr>-->
				 {if $captchaMethod != "None" && $captcha}
<!--
				hiii{$captcha}no{$captchaMethod}
-->
				 <!--<tr>
					<td>
					<FONT color="red">*</FONT>
					{if $errmsg.captcha != ''}
					<font color=red>Enter Captcha</font>
					{else}
					Enter CAPTCHA
					{/if}
					</td>
					<td>
					
					{$captcha}
					
					</td>
					</tr>-->
				 <tr>
					
					<td colspan="2">
					   <div class='req'>
						  <input type='text' name='mobile1' id="mobile1">
					   </div>
					</td>
				 </tr>
				 {/if}
				 <TR>
					
					<TD colspan="2" class="pk1 btn_td" align="center">
						<br>
					   <INPUT type="submit" name="save" value="Submit" class=formButton ID="submit_vivitor_product">&nbsp;&nbsp;&nbsp;&nbsp;
					   <INPUT type="reset" value="Reset" class=formButton ID="Button1">
					   
					</TD>
				 </TR>
			  </TABLE>
		   </FORM>
		</div>
		{/if}
		
{literal}
<script>
   function validateFields()
   {
   	var regexp = /^(\+|-)?(\d*\.?\d*)$/;
   	var newVal = $("#price").val();
   	
   if($("#price").val()=='' || $("#price").val() == 0 )
   {
   	alert("Please Enter Price");
   	$("#price").focus();
   	return false;
   }
   
   if(!regexp.test(newVal))
   {
   	alert("Enter only numeric data in price field");
   	$("#price").focus();
   	return false;
   }
   
   if($("#description").val()=='')
   {
   alert("Please Enter Description");
   $("#description").focus();
   return false;
   }
   
   if($("#email").val()=='')
   {
   alert("Please Enter Email Address");
   $("#email").focus();
   return false;
   }
   if(!isEmail($("#email").val()))
   {
   alert("Please Enter a Valid Email Address");
   $("#email").focus();
   return false;
   }
   
   
   	var pass = $("#account_password").val();
   	var conf_pass = $("#account_password_confirm").val();
   	
   	if(pass=='')
   	{
   		alert("Please enter password");
   		$(".password_class").removeAttr('style');	
   		$("#account_password").focus();
   		return false;
   	}
   	else
   	{
   		// if($('.confirm_password_class').css('display') != 'block'){
   		// 	$.ajax({
   		// 	  url: 'dmp.php',
   		// 	  type: 'POST',
   		// 	  data: {email:email,pass:pass, action: 'register_user_pass'},
   		// 	  success: function(result) {
   		// 		//called when successful
   		// 		if($.trim(result) == "Ok")
   		// 		{	
   		// 			alert(result);									
   		// 		}	
   		// 		else
   		// 		{
   		// 			alert(result);								
   		// 		}
   		// 	  },
   		// 	  error: function(e) {
   		// 		//called when there is an error
   		// 		//console.log(e.message);
   		// 	  }
   		// 	});	
           
   		// }
       
   	}
   	
	
	if($('.confirm_password_class').css('display')== 'block'){
		if(pass.length < 6)
		{
			alert("Oops Your password is not long enough, try again.");
			$("#account_password").focus();
			return false;
		}
		
		if(conf_pass=='')
		{		
			alert("Please enter password confirmation");
			$("#account_password_confirm").focus();
			return false;
		}
		else if(pass != conf_pass)
		{
			alert("Oops, your passwords don't match, try again.");
			$("#account_password_confirm").focus();
			return false;
		}	
	 }

	 //var pass = $('#account_password').val();


   }
   
   function validateAllFields()
   {  
   	var regexp = /^(\+|-)?(\d*\.?\d*)$/;
   	var newVal = $("#price").val();
   	
   if($("#price").val()=='' || $("#price").val() == 0 )
   {
   	alert("Please Enter Price");
   	$("#price").focus();
   	return false;
   }
   
   if(!regexp.test(newVal))
   {
   	alert("Enter only numeric data in price field");
   	$("#price").focus();
   	return false;
   }
   
         if($("#description").val()=='')
   {
   alert("Please Enter Description");
   $("#description").focus();
   return false;
   }
   
   if($("#email").val()=='')
   {
   alert("Please Enter Email Address");
   $("#email").focus();
   return false;
   }
   if(!isEmail($("#email").val()))
   {
   alert("Please Enter a Valid Email Address");
   $("#email").focus();
   return false;
   }
    
   
   var pass = $("#account_password").val();
   var conf_pass = $("#account_password_confirm").val();
   	
   	if(pass=='')
   	{
   		alert("Please enter password");
   		$("#account_password").focus();
   		return false;
   	}	
   	//~ else if(pass.length < 6)
   	//~ {
   		//~ alert("Oops Your password is not long enough, try again.");
   		//~ $("#account_password").focus();
   		//~ return false;
   	//~ }
   	if($('.confirm_password_class').css('display')== 'block'){
		if(pass.length < 6)
		{
			alert("Oops Your password is not long enough, try again.");
			$("#account_password").focus();
			return false;
		}
		if(conf_pass=='')
		{		
			alert("Please enter password confirmation");
			$("#account_password_confirm").focus();
			return false; 
		}
		else if(pass != conf_pass)
		{
			alert("Oops, your passwords don't match, try again.");
			$("#account_password_confirm").focus();
			return false;
		}
   	}
   	$('#price_copy').val($('#price').val());
	$('#description_copy').val($('#description').val());
	$('#email_copy').val($('#email').val());
	$('#account_password_copy').val($('#account_password').val());
	
   
   if($("#company").val().trim()=='')
   {
   alert("Please Enter Company Name");
   $("#company").focus();
   return false;
   }
   
   if($("#fname").val().trim()=='')
   {
   alert("Please Enter First Name");
   $("#fname").focus();
   return false;
   }
   if($("#lname").val().trim()=='')
   {
   alert("Please Enter Last Name");
   $("#lname").focus();
   return false;
   }
   
   
   if($("#phone").val()==0)
   {
   alert("Please Enter Phone Number");
   $("#phone").focus();
   return false;
   }
   if($("#cmbUSAState").val().trim()=='' && $('#txtOtherState').val()=='')
   {
	   
   alert("Please Enter Your State");
   $("#cmbUSAState").focus();
   $("#txtOtherState").focus();
   return false;
   }
   }
   
   function register_email_check(){
   		var email = $("#email").val();
   		//alert(email);
   		 $.ajax({
   			  url: 'dmp.php',
   			  type: 'POST',
   			  data: {email:email, action: 'register_user'},
   			  success: function(result) {
   				//called when successful
   				if($.trim(result) != "no")
   				{	
   					$("#register_email").show();					
   					$("#register_email").html(result);								
   				}	
   				else
   				{
   					$("#register_email").hide();								
   				}
   			  },
   			  error: function(e) {
   				//called when there is an error
   				//console.log(e.message);
   			  }
   			});	
   	}
   
</script>
<script type="text/javascript">
   $(document).ready(function(){
   
   // American Numbering System
   var th = ['', 'thousand', 'million', 'billion', 'trillion'];
   
   var dg = ['zero', 'one', 'two', 'three', 'four', 'five', 'six', 'seven', 'eight', 'nine'];
   
   var dgn = ['0', '1', '2', '3', '4', '5', '6', '7', '8', '9'];
   
   var tn = ['ten', 'eleven', 'twelve', 'thirteen', 'fourteen', 'fifteen', 'sixteen', 'seventeen', 'eighteen', 'nineteen'];
   
   var tw = ['twenty', 'thirty', 'forty', 'fifty', 'sixty', 'seventy', 'eighty', 'ninety'];
   
   function toWords(s) {
       s = s.toString();
       s = s.replace(/[\, ]/g, '');
       if (s != parseFloat(s)) return 'not a number';
       var x = s.indexOf('.');
       if (x == -1) x = s.length;
       if (x > 15) return 'too big';
       var n = s.split('');
       var str = '';
       var sk = 0;
       for (var i = 0; i < x; i++) {
           if ((x - i) % 3 == 2) {
               if (n[i] == '1') {
                   str += tn[Number(n[i + 1])] + ' ';
                   i++;
                   sk = 1;
               } else if (n[i] != 0) {
                   str += tw[n[i] - 2] + ' ';
                   sk = 1;
               }
           } else if (n[i] != 0) {
               str += dg[n[i]] + ' ';
               if ((x - i) % 3 == 0) str += 'hundred ';
               sk = 1;
           }
           if ((x - i) % 3 == 1) {
               if (sk) str += th[(x - i - 1) / 3] + ' ';
               sk = 0;
           }
       }
       if (x != s.length) {
           var y = s.length;
           str += '.';
           for (var i = x + 1; i < y; i++) str += dgn[n[i]];
       }
       return str.replace(/\s+/g, ' ');
   
   }	
   	
   	
   	$("#price").change(function(){
   		
   		//var regexp = /^(\+|-)?(\d*\.?\d*)$/;				
   		var price_num = $('#price').val();		
   		var price = price_num.replace(/[^\d\.\-\ ]/g, '');			
   		
   		var num = parseFloat(price);
   		var cleanNum = num.toFixed(2);
   		$(this).val(cleanNum);
   		
   		if (isNaN(num)) {
   			alert("Enter only numeric data in price field");
   			$(this).val('');
   			$("#price").focus();
   			return false;
   		}
   		if(num/cleanNum < 1){
   			alert('Please enter only 2 Decimal places');
   		}	
   			
   				
   		$('#pop_price').html(cleanNum);
   		var price_word = toWords(cleanNum);
   		$('#pop_price_word').html(price_word);
   					
   		});		
   		
   	$("#company").change(function(){
   		var company = $('#company').val();
   		$('#pop_company').html(company);
   		});	
   		
   	$("#item").change(function(){
   		var company = $('#item').val();
   		$('#pop_item').html(company);
   		});
   		
   	
   	$("#title").change(function(){
   		var title = $('#title').val();
   		$('#pop_title').html(title);
   		});	
   		
   	$("#fname,#lname").change(function(){
   		var fname = $('#fname').val();
   		var lname = $('#lname').val();
   		var officer = fname+' '+lname;
   		//fname = fname.charAt(0);
   		//lname = lname.charAt(0);
   		var sign = fname+' '+lname;
   		$('#pop_officer').html(officer);
   		$('#pop_sign').html(sign);
   		});		
   		
   	$("#create_ac").click(function(){
   		if($("#create_ac").is(':checked'))
   			$(".password_class").css('display','block');	
   		else
   			//$(".password_class").css('display','none !important');
   			$('.password_class').attr("style", "display: none !important");	
   	});	
   	
   	var email = $("#email").val();
   	if(email != ""){	
   		 $.ajax({
   			  url: 'dmp.php',
   			  type: 'POST',
   			  data: {email:email, action: 'register_user'},
   			  success: function(result) {
   				//called when successful
   				
   				/*if($.trim(result) != "no")
   				{	
   					$("#register_email").show();					
   					$("#register_email").html(result);								
   				}	
   				else
   				{
   					$("#register_email").hide();								
   				}*/
   			  },
   			  error: function(e) {
   				//called when there is an error
   				//console.log(e.message);
   			  }
   			});
   	}	
   
   	})
   
</script>
{/literal}	 
  



</div>
		</div>
	</div>
	
	
</section>