<?php /* Smarty version 2.6.20, created on 2012-04-13 03:38:04
         compiled from report_video.tpl */ ?>

<?php if (isset ( $this->_tpl_vars['confirm_send'] )): ?>
<div class="confirm_send"><?php echo $this->_tpl_vars['lang']['report_msg2']; ?>
</div>
<?php endif; ?>

<form action="<?php echo @_URL; ?>
/report.php?vid=<?php echo $this->_tpl_vars['vid']; ?>
&do=<?php echo $this->_tpl_vars['do']; ?>
" method="post">
<table width="100%" border="0" cellspacing="2" cellpadding="2">
  <tr>
    <td width="170"><strong><?php echo $this->_tpl_vars['lang']['your_name']; ?>
</strong>: </td>
    <td><input name="name" type="text" class="inputtext" size="20" maxlength="50" value="<?php if ($this->_tpl_vars['logged_in']): ?><?php echo $this->_tpl_vars['s_name']; ?>
<?php else: ?><?php echo $_POST['name']; ?>
<?php endif; ?>" /></td>
  </tr>
  <tr>
    <td><strong><?php echo $this->_tpl_vars['lang']['your_email']; ?>
</strong>: </td>
    <td><input name="email" type="text" class="inputtext" size="20" maxlength="50" value="<?php if ($this->_tpl_vars['logged_in']): ?><?php echo $this->_tpl_vars['s_email']; ?>
<?php else: ?><?php echo $_POST['email']; ?>
<?php endif; ?>" /> <div class="error_msg"><?php echo $this->_tpl_vars['err_email']; ?>
</div></td>
  </tr>
  <tr>
    <td><strong><?php echo $this->_tpl_vars['lang']['report_form1']; ?>
</strong>: </td>
    <td>
        <select name="reason" class="inputtext">
		<option value="<?php echo $_POST['reason']; ?>
" selected="selected"><?php echo $_POST['reason']; ?>
</option>
		<?php if ($_GET['do'] == '0'): ?>
		<option value="<?php echo $this->_tpl_vars['lang']['report_form2']; ?>
"><?php echo $this->_tpl_vars['lang']['report_form2']; ?>
</option>
		<option value="<?php echo $this->_tpl_vars['lang']['report_form3']; ?>
"><?php echo $this->_tpl_vars['lang']['report_form3']; ?>
</option>
		<?php endif; ?>
		<option value="<?php echo $this->_tpl_vars['lang']['report_form4']; ?>
"><?php echo $this->_tpl_vars['lang']['report_form4']; ?>
</option>
		<option value="<?php echo $this->_tpl_vars['lang']['report_form5']; ?>
"><?php echo $this->_tpl_vars['lang']['report_form5']; ?>
</option>
		<option value="<?php echo $this->_tpl_vars['lang']['report_form6']; ?>
"><?php echo $this->_tpl_vars['lang']['report_form6']; ?>
</option>
		<option value="<?php echo $this->_tpl_vars['lang']['report_form7']; ?>
"><?php echo $this->_tpl_vars['lang']['report_form7']; ?>
</option>
        </select>
    </td>
  </tr>
  <tr>
    <td><div class="error_msg"><?php echo $this->_tpl_vars['err_captcha']; ?>
</div></td>
    <td>
		
	<img src="<?php echo @_URL; ?>
/include/securimage_show.php?sid=<?php  echo md5(uniqid(time()));  ?>" id="image" align="absmiddle" />
	<a href="#" onclick="document.getElementById('image').src = '<?php echo @_URL; ?>
/include/securimage_show.php?sid=' + Math.random(); return false"><img src="<?php echo @_URL; ?>
/templates/<?php echo $this->_tpl_vars['template_dir']; ?>
/images/reload.gif" border="0" align="absmiddle" /></a>
		
    </td>
  </tr>
  <tr>
    <td><strong><?php echo $this->_tpl_vars['lang']['confirm_comment']; ?>
</strong> </td>
    <td><input type="text" name="imagetext" maxlength=10 autocomplete="off" class="inputtext" /></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td><label>
      <input type="submit" name="Submit" value="<?php echo $this->_tpl_vars['lang']['submit_send']; ?>
" class="inputbutton" />
    </label></td>
  </tr>
</table>
</form>
