software.html

<font color=red><b>(%ERROR_MESSAGE%)</b></font><br><br class=tiny>
<table width=650 bgcolor="#CFDCE8">
  <form method=post action="(%ENV_SCRIPT_NAME%)" name=newticket>
  <input type=hidden name=cmd value=newticket>
  <input type=hidden name=do value=1>
  <input type=hidden name=pwd value="(%INPUT_pwd%)">
  <input type=hidden name=userid value="(%INPUT_userid%)">
  <input type=hidden name=form value="(%INPUT_form%)">
  <tr>
    <td colspan=2>&nbsp;</td>
  </tr>
  <tr>
    <td align=right><b>Nome</b></td>
    <td align=left><input type=text name=name size=25 value="(%INPUT_name%)"></td>
  </tr>
  <tr>
    <td align=right><b>Email</b></td>
    <td align=left><input type=text name=email size=25 value="(%INPUT_email%)"></td>
  </tr>
	<tr>
		<td align=right class=lbl>Telefone</td>
		<td align=left><input type=text size=25 name=xPhone value="(%INPUT_xPhone%)"></td>
	</tr>
	<tr>
		<td align=right class=lbl>Setor</td>
		<td align=left>
			<select name=xDepartment>
				<option></option>
				<option>Acessoria Juridica</option>
				<option>Acessoria Parlamentar</option>
				<option>Informatica</option>
			</select>
		</td>
	</tr>
  <tr>
    <td align=right><b>Assunto</b></td>
    <td align=left><input type=text name=subject size=40 value="(%INPUT_subject%)"></td>
  </tr>
  <tr>
    <td align=right><b><br>Menssagem</b></td>
    <td align=right>&nbsp;</td>
  </tr>
  <tr>
    <td align=center colspan=2><textarea cols=60 rows=12 wrap=virtual name=message>(%INPUT_message%)</textarea>
    <br><br class=tiny>
    <input type=submit value="Envie sua requisição">
    </td>
    </form>
  </tr>
  <tr>
    <td colspan=2>&nbsp;</td>
  </tr>
</table>
	<script type="text/javascript"><!--
	var i;
	for (i = 0; i < document.forms['newticket'].xDepartment.options.length; i++) {
	  if (document.forms['newticket'].xDepartment.options[i].text == '(%INPUT_xDepartment%)') {
	    document.forms['newticket'].xDepartment.options[i].selected = true;
	  }
	}
	//--></script>