<!-- Content -->

<div class="content columnFourth addHalf">
    <h1>Contact</h1>
    <p>
        Neem contact op voor een eerlijk advies <br />of vrijblijvende offerte.
    </p>
    <br />
    <div class="dataCell left">Adres</div>
    <div class="dataCell right">
        Mecurity BV<br />
        Collse Heide 16<br />
        5674 VN Nuenen<br />
        Nederland
    </div>
    <div class="clear"></div>
    <br />
    <div class="dataCell left">Telefoon</div>
    <div class="dataCell right">+31 (0)40 283 51 75</div>

    <div class="dataCell left">E-mail</div>
    <div class="dataCell right"><a href="mailto:info@mecurity.nl">info@mecurity.nl</a></div>

    <div class="dataCell left">KvK</div>
    <div class="dataCell right">17158912</div>
    <div class="clear"></div>

    <div class="clear"></div>

</div>
<div class="columnFourth double last">
    <h1 class="formulier">Formulier</h1>

    <?php $this->getData('succesMessage'); ?>
    <?php $this->getData('errorMessage'); ?>

    <form action="" method="post" name="contactForm" id="contactForm">
        <div class="formRow">
            <input id="dhr" type="radio" name="aanhef" value="dhr" class="radio" <?php if($_SESSION['contact']['aanhef']=='dhr') echo 'checked'; ?>/><label for="dhr" class="dhr">Dhr.</label>
            <input id="mevr" type="radio" name="aanhef" value="mevr" class="radio" <?php if($_SESSION['contact']['aanhef']=='mevr') echo 'checked'; ?>/><label for="mevr">Mevr.</label>

            <span class="requiredInfo">Velden met een * zijn verplicht</span>
        </div>
        <div class="formRow">
            <label for="bedrijfsnaam" class="textLabel<?php $this->getData('bedrijfsnaamError'); ?>">Bedrijfsnaam</label>
            <input id="bedrijfsnaam" type="text" name="bedrijfsnaam" value="<? echo $_SESSION['contact']['bedrijfsnaam']; ?>" class="textField" />
        </div>
        <div class="formRow">
            <label for="naam" class="textLabel">Naam<span class="required">*</span></label>
            <input id="naam" type="text" name="naam" value="<? echo $_SESSION['contact']['naam']; ?>" class="textField<?php $this->getData('naamError'); ?>"  />
        </div>
        <div class="formRow">
            <label for="email" class="textLabel">Email<span class="required">*</span></label>
            <input id="email" type="text" name="email" value="<? echo $_SESSION['contact']['email']; ?>" class="textField<?php $this->getData('emailError'); ?>"  />
        </div>
        <div class="formRow">
            <label for="telefoon" class="textLabel">Telefoon / Mobiel <span class="required">*</span></label>
            <input id="telefoon" type="text" name="telefoon" value="<? echo $_SESSION['contact']['telefoon']; ?>" class="textField<?php $this->getData('telefoonError'); ?>"  />
        </div>
        <div class="formRow">
            <label for="bericht" class="textLabel">Vragen / Opmerkingen<span class="required">*</span></label>
            <textarea id="bericht" name="bericht" class="textArea<?php $this->getData('berichtError'); ?>" ><? echo $_SESSION['contact']['bericht']; ?></textarea>
        </div>

        <span class="btn simpleHover" id="submitForm">
            <span class="left">
                <span class="text">Verzenden</span>
                <span class="hover">
                    <span class="shadow"></span>
                </span>
                <span class="up">
                    <span class="shadow"></span>
                </span>
            </span>
            <span class="right">
                <span class="hover">
                    <span class="arrow"></span>
                    <span class="shadow"></span>
                </span>
                <span class="up">
                    <span class="arrow"></span>
                    <span class="shadow"></span>
                </span>
            </span>
        </span>
    </form>
</div>
<div class="clear"></div>