<?php
include'easy-protect.php';protect('F0rt3B10');
// session_start();
header("Cache-control: private"); // IE 6 Fix.

$path = "./";
include($path . 'common/includes.inc');

$menuloc = array("support", "support_request", "");

global $HTTP_POST_VARS;
global $HTTP_GET_VARS;
global $DB_USER_TABLE, $COMPANY_NAME;
$message = strip_tags($HTTP_GET_VARS["message"]);
$serialnum = strip_tags($HTTP_POST_VARS["serialnum"]);
$description = strip_tags($HTTP_POST_VARS["description"]);
$thefunction = $HTTP_POST_VARS["thefunction"];

$link = DatabaseConnect();
$login = new Login($link, $DB_USER_TABLE);
list($userid, $admin) = $login->ValidateLoginDB('none');

if ( ! empty($thefunction)) {
	$errors = ValidateRequest($link, $userid);
}

$query = "SELECT * FROM fb_users WHERE id='$userid';";
$result = mysql_query($query, $link);
$rows = mysql_num_rows($result);
if ($rows > 0) {
	$firstname = mysql_result($result, 0, "firstname");
	$lastname = mysql_result($result, 0, "lastname");
	$company = mysql_result($result, 0, "company");
	$email = mysql_result($result, 0, "email");
	$phone = mysql_result($result, 0, "phone");
	$address = mysql_result($result, 0, "address");
	$address2 = mysql_result($result, 0, "address2");
	$city = mysql_result($result, 0, "city");	
	$state = mysql_result($result, 0, "state");
	$zip = mysql_result($result, 0, "zip");
	$country = mysql_result($result, 0, "country");
}
if ( ! empty($HTTP_POST_VARS["firstname"]))	{	$firstname = $HTTP_POST_VARS["firstname"];}
if ( ! empty($HTTP_POST_VARS["lastname"]))	{	$lastname = $HTTP_POST_VARS["lastname"];}
if ( ! empty($HTTP_POST_VARS["company"]))	{	$company = $HTTP_POST_VARS["company"];}
if ( ! empty($HTTP_POST_VARS["address"]))	{	$address = $HTTP_POST_VARS["address"];}
if ( ! empty($HTTP_POST_VARS["address2"]))	{	$address2 = $HTTP_POST_VARS["address2"];}
if ( ! empty($HTTP_POST_VARS["city"]))		{	$city = $HTTP_POST_VARS["city"];}
$statecountry = GetStateCountry();
$state = $statecountry[0];
$country = $statecountry[1];
if ( ! empty($HTTP_POST_VARS["zip"]))	{	$zip = $HTTP_POST_VARS["zip"];}
if ( ! empty($HTTP_POST_VARS["email"]))		{	$email = $HTTP_POST_VARS["email"];}
if ( ! empty($HTTP_POST_VARS["phone"]))		{	$phone = $HTTP_POST_VARS["phone"];}

$instrument_type = $HTTP_POST_VARS["instrument_type"];
if ( ! empty($HTTP_POST_VARS["serialnum"]))	{	$serialnum = $HTTP_POST_VARS["serialnum"];}
if ( ! empty($HTTP_POST_VARS["acquisition_software_version"]))		{	$acquisition_software_version = $HTTP_POST_VARS["acquisition_software_version"];}
if ( ! empty($HTTP_POST_VARS["acquisition_software_version_other"])){	$acquisition_software_version_other = $HTTP_POST_VARS["acquisition_software_version_other"];}
if ( ! empty($HTTP_POST_VARS["analysis_software_version"]))			{	$analysis_software_version = $HTTP_POST_VARS["analysis_software_version"];}
if ( ! empty($HTTP_POST_VARS["analysis_software_version_other"]))	{	$analysis_software_version_other = $HTTP_POST_VARS["analysis_software_version_other"];}
if ( ! empty($HTTP_POST_VARS["blitz_software_version"]))			{	$blitz_software_version = $HTTP_POST_VARS["blitz_software_version"];}
if ( ! empty($HTTP_POST_VARS["pioneer_software_version"]))			{	$pioneer_software_version = $HTTP_POST_VARS["pioneer_software_version"];}

if ( ! empty($HTTP_POST_VARS["case_type"]))			{	$case_type = $HTTP_POST_VARS["case_type"];}
if ( ! empty($HTTP_POST_VARS["case_reason"]))		{	$case_reason = $HTTP_POST_VARS["case_reason"];}
if ( ! empty($HTTP_POST_VARS["case_reason_other"]))	{	$case_reason_other = $HTTP_POST_VARS["case_reason_other"];}
if ( ! empty($HTTP_POST_VARS["case_origin"]))		{	$case_origin = $HTTP_POST_VARS["case_origin"];}
if ( ! empty($HTTP_POST_VARS["application"]))		{	$application = $HTTP_POST_VARS["application"];}
if ( ! empty($HTTP_POST_VARS["application_other"]))	{	$application_other = $HTTP_POST_VARS["application_other"];}
if ( ! empty($HTTP_POST_VARS["sensor"]))			{	$sensor = $HTTP_POST_VARS["sensor"];}
if ( ! empty($HTTP_POST_VARS["sensor_other"]))		{	$sensor_other = $HTTP_POST_VARS["sensor_other"];}
if ( ! empty($HTTP_POST_VARS["sensor_lot_number"]))	{	$sensor_lot_number = $HTTP_POST_VARS["sensor_lot_number"];}
if ( ! empty($HTTP_POST_VARS["subject"]))			{	$subject = $HTTP_POST_VARS["subject"];}
if ( ! empty($HTTP_POST_VARS["description"]))		{	$description = $HTTP_POST_VARS["description"];}

	function set_select ($options, $label, $name, $current, $other = '', $reuire = '*') {
		global $errors;
		echo '<label for="'. $name .'" '. ((strlen($label) > 20) ? 'class="wide"' : '') .'>'. $label .':<span class="small-error-text">'. $reuire .'</span></label> ';
		if ($other != '') $other = ' onchange="show_hide(this, \''. $other .'\')"';
		echo '<select class="input-text" name="'. $name .'"'. $other .'>';

		foreach ($options as $o) {
			echo '<option value="'. $o .'" '. (($o == $current) ? 'selected' : ''). '>'. $o .'</option>';
		}
		echo '</select>';
		echo '<span class="small-error-text">&nbsp;&nbsp;'. $errors[$name] .'</span>';		
	}


?>
<?php $headfoot = new HeadFoot_forte($link, $DB_USER_TABLE, $path, $COMPANY_NAME); ?> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html lang="en">
<head>
<meta http-equiv="content-type" content="text/html; charset=utf-8">
<meta charset="utf-8"/>
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<title>ForteBio :: Request Technical Support</title>
<meta content="Request Technical Support for your ForteBio Product" name="description">
<meta content="fortebio support, request fortebio support, fortebio tech support, ocet support, BLItz support, Optim support, fortebio, forte bio, octet system, blitz system, optim 2 system" name="keywords">
<link rel="stylesheet" href="css/prettyPhoto.css" type="text/css" media="screen"/>
<link rel="stylesheet" href="css/style.css" type="text/css" media="screen"/>
<!--[if IE]> <link rel="stylesheet" type="text/css" href="css/ie.css" /> <![endif]-->
<script type="text/javascript" src="js/jquery.min.js"></script>
<script type="text/javascript" src="js/easing/jquery.easing.1.3.js"></script>
<script type="text/javascript" src="js/jquery.tools.js"></script>
<script type="text/javascript" src="js/nivo-slider/jquery.nivo.slider.js"></script>
<script type="text/javascript" src="js/prettyPhoto/jquery.prettyPhoto.js"></script>
<script type="text/javascript" src="js/scrolltop/scrolltopcontrol.js"></script>
<script type="text/javascript" src="js/tabify/jquery.tabify.js"></script>
<script type="text/javascript" src="js/custom.js"></script>
<script language="JavaScript" src="common/admin.js"></script>
<link rel="icon" type="image/x-icon" href="images/favicon.ico" />
<script type="text/javascript">
var _ss = _ss || [];
_ss.push(['_setDomain', 'https://koi-8D8LU48E.marketingautomation.services/net']);
_ss.push(['_setAccount', 'KOI-1N36PE9WI']);
_ss.push(['_trackPageView']);
(function() {
    var ss = document.createElement('script');
    ss.type = 'text/javascript'; ss.async = true;

    ss.src = ('https:' == document.location.protocol ? 'https://' : 'http://') + 'koi-8D8LU48E.marketingautomation.services/client/ss.js?ver=1.1.1';
    var scr = document.getElementsByTagName('script')[0];
    scr.parentNode.insertBefore(ss, scr);
})();
</script>
<?php $headfoot->PageHeadCustom($userid); ?> </head>

<body onLoad="ShowHideCountry('div_country_other', 'support.country_list'); ShowHideStates('div_us_states', 'div_canadian', 'div_other_states', 'support.country_list');">
<div class="wrapper">
<div class="upper-content">
  <div class="container_16"> 
    <!-- Header -->
    <div class="grid_16 header-wrapper">
      <?php
		
		$headfoot->PageHeader($userid);

		$bannermenus = new BannerMenus_forte($link, $DB_USER_TABLE, $path);
		$bannermenus->Banner($userid);
		$bannermenus->MenuBar($menuloc);
?>
    </div>
    <div class="clear"></div>
    <!-- End Header --> 
    
    <!-- Main Content -->
    <div class="grid_16">
      <div class="grid_3">&nbsp;</div>
      <div class="grid_10">
        <h1>Email Technical Support</h1>
      </div>
      <div class="grid_3">&nbsp;</div>
      <div class="clear"></div>
      <?php
		$bannermenus->SideMenuBar($menuloc);
?>
      <div class="grid_10">
        <div class="content">
          <form name="support" action="<?php echo $PHP_SELF ?>" method="post" enctype="multipart/form-data">
			<input type="hidden" name='thefunction' value="validate">
			<p><span class="small-error-text"><?php echo $message; ?><?php echo $errors['mail']; ?></span></p>

			<div class="form-field">
				<label for="firstname">First name:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='firstname' name='firstname' class='body-text' value="<?php echo $firstname; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['firstname']; ?></span>
			</div>
			<div class="form-field">
				<label for="lastname">Last name:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='lastname' name='lastname' class='body-text' value="<?php echo $lastname; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['lastname']; ?></span>
			</div>
			<div class="form-field">
				<label for="company">Company:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='company' name='company' class='body-text' value="<?php echo $company; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['company']; ?></span>
			</div>
			<div class="form-field">
				<label for="address">Address:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='address' name='address' class='body-text' value="<?php echo $address; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['address']; ?></span>
			</div>
			<div class="form-field">
				<label for="address2">&nbsp;</label>
				<input type='text' size='50' id='address2' name='address2' class='body-text' value="<?php echo $address2; ?>">
			</div>
			<div class="form-field">
				<label for="city">City:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='city' name='city' class='body-text' value="<?php echo $city; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['city']; ?></span>
			</div>
			<div class="form-field">
				<label for="space4">&nbsp;</label>
			</div>
			<div class="form-field">
				<label for="country">Country:<span class="small-error-text">*</span></label>
				<?php PrintCountrySelect($link, "fb_countries", "country_list", "$country", "support", "div_country_other", "div_us_states", "div_canadian", "div_other_states", "", "", "", 1); ?>
				<div id='div_country_other'>
<?php
					if ($country == "USA" || $country == "Canada") {
						echo "<input type='text' name='country' id='foreign' size='25' class='body-text'>";
					} else {
						echo "<input type='text' name='country' id='foreign' size='25' value='$country' class='body-text'>";
					}
?>
				</div>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['country']; ?></span>
			</div>
			<div class="form-field">
				<label for="state">State/Province:<span class="small-error-text">*</span></label>
				<div id="div_state_choice">
					<div id='div_us_states'>
<?php					PrintStateSelect("us_state", "$state", "USA", 1, "", 1); ?>
					</div>
					<div id='div_canadian'>
<?php					PrintStateSelect("canadian_province", "$state", "Canada", 1, "", 1); ?>
					</div>
					<div id='div_other_states'>
<?php					echo "<input type='text' name='province' size='50' value='$state' class='body-text'>"; ?>
					</div>
				</div>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['state']; ?></span>
				<br><img src='images/spacer.gif' width='1' height='6'>
			</div>
			
			<div class="form-field">
				<label for="zip">Zip/Postal code:<span class="small-error-text">*</span></label>
				<input type='text' size='20' id='zip' name='zip' class='body-text' value="<?php echo $zip; ?>"></span><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['zip']; ?></span>
			</div>
			
			
			<div class="form-field">
				<label for="email">Email:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='email' name='email' class='body-text' value="<?php echo $email; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['email']; ?></span>
			</div>
			<div class="form-field">
				<label for="phone">Phone:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='phone' name='phone' class='body-text' value="<?php echo $phone; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['phone']; ?></span>
			</div>
			
			<div class="form-field" id="instrument_type">
<?php			set_select (array ('Select one', 'Octet system', 'BLItz system', 'Pioneer system'), 'Instrument type', 'instrument_type', $instrument_type);	?>
			</div>
			<div class="form-field">
				<label class="wide" for="serialnum">Instrument serial# (<span class="example">enter as format FB-XXXXX</span>):<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='serialnum' name='serialnum' class='body-text' value="<?php echo $serialnum; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['serialnum']; ?></span>
			</div>
			
			<div class="form-field" id="acquisition_software_version">
<?php			set_select (array ('Select one', '6.3', '6.4', '7.0', '7.0 CFR', '7.1', '7.1 CFR', '8.0', '8.0 CFR', '8.1', '8.1 CFR', '8.2', '8.2 CFR', '9.0', '9.0 CFR', '10.0', '10.0 CFR', 'Other', 'Not applicable'), 'Current Octet Data Acquisition software version', 'acquisition_software_version', $acquisition_software_version ,'acquisition_other');	?>
			</div>

			<div id="acquisition_other" class="form-field <?php echo (($acquisition_software_version != 'Other') ? 'hide' : ''); ?>">
				<label class="wide" for="acquisition_software_version_other">Please enter your Octet Data Acquisition software version:<span class="small-error-text">*</span></label>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['acquisition_software_version_other']; ?></span>
				<input type="text" name="acquisition_software_version_other" value="<?php echo $acquisition_software_version_other ?>" size="24" class='body-text'>
			</div>	

			<div class="form-field" id="analysis_software_version">
<?php			set_select (array ('Select one', '6.3', '6.4', '7.0', '7.0 CFR', '7.1', '7.1 CFR', '8.0', '8.0 CFR', '8.1', '8.1 CFR', '8.2', '8.2 CFR', '9.0', '9.0 CFR', '10.0', '10.0 CFR', 'Other', 'Not applicable'), 'Current Octet Data Analysis software version', 'analysis_software_version', $analysis_software_version ,'analysis_other');	?>
			</div>

			<div id="analysis_other" class="form-field <?php echo (($analysis_software_version != 'Other') ? 'hide' : ''); ?>">
				<label class="wide" for="analysis_software_version_other">Please enter your Octet Data Analysis software version:<span class="small-error-text">*</span></label>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['analysis_software_version_other']; ?></span>
				<input type="text" name="analysis_software_version_other" value="<?php echo $analysis_software_version_other ?>" size="24" class='body-text'>
			</div>
			
			<div class="form-field", id="blitz_software_version">
<?php			set_select (array ('Select one', '1.1', '1.2', '1.2 CFR', 'Not applicable'), 'Current BLItz Pro software version', 'blitz_software_version', $blitz_software_version);	?>
			</div>
			
			<div class="form-field", id="pioneer_software_version">
<?php			set_select (array ('Select one', '3.0', '3.1', '3.2', '3.3', '4.0', '4.1', '4.2', 'Not applicable'), 'Current Pioneer software version', 'pioneer_software_version', $pioneer_software_version);	?>
			</div>
			
			<div class="form-field">
<?php			set_select (array ('Problem', 'Feature request', 'Question'), 'Reason for contacting  ForteBio', 'case_type', $case_type);	?>
			</div>
	
			<div class="form-field">
<?php			set_select (array ('Select one', 'Application / Assay Development', 'Data Analysis / Software', 'Instrument Hardware  / Service', 'Biosensor / Consumable', 'Website / Computer', 'BLI Technology', 'Training', 'Pioneer', 'Obsolescence', 'Other'), 'My problem or question is on', 'case_reason', $case_reason ,'case_reason_other');	?>
			</div>

			<div id="case_reason_other" class="form-field <?php echo (($case_reason != 'Other') ? 'hide' : ''); ?>">
				<label class="wide" for="case_reason_other">Please enter your question area:<span class="small-error-text">*</span></label>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['case_reason_other']; ?></span>
				<input type="text" name="case_reason_other" value="<?php echo $case_reason_other ?>" size="24" class='body-text'>
			</div>
			
			<div class="form-field">
<?php			set_select (array ('E-mail', 'Phone'), 'Contact me via', 'case_origin', $case_origin);	?>
			</div>
			
			<div class="form-field">
				<label for="space1">&nbsp;</label>
			</div>
			
			<div class="form-field">
<?php			set_select (array ('Select one', 'Not applicable to my issue', 'Quantitation', 'Kinetics', 'Epitope binning', 'Small molecule', 'Other'), 'Experiment Type', 'application', $application ,'application_other');	?>
			</div>

			<div id="application_other" class="form-field <?php echo (($application != 'Other') ? 'hide' : ''); ?>">
				<label class="wide" for="application_other">Please enter your application:<span class="small-error-text">*</span></label>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['application_other']; ?></span>
				<input type="text" name="application_other" value="<?php echo $application_other ?>" size="24" class='body-text'>
			</div>
			
			<div class="form-field">
<?php			set_select (array ('Select one', 'Not applicable to my issue', 'AHC - Anti-hIgG Fc Capture', 'AHQ - Anti-Human IgG Fc', 'AMC - Anti-mIgG Fc Capture', 'AMQ - Anti-Murine IgG Fv', 'APS - Aminopropylsilane', 'AR2G - Amine reactive second generation', 'FAB - Anti-Human Fab-CH1', 'GST - Anti-GST', 'HIS1K - Anti-Penta-HIS', 'HIS2 - Anti-HIS', 'NTA - Ni-NTA', 'ProA - Protein A', 'ProL - Protein L', 'ProG - Protein G', 'SA - Streptavidin', 'SAX - High Precision Streptavidin', 'SSA - Super Streptavidin', 'COOH1', 'COOH2', 'COOH5', 'COOHV', 'BioCap', 'VesCap', 'HisCap', 'AvCap' ,'Gold only', 'Other'), 'Type of biosensor', 'sensor', $sensor ,'sensor_other');	?>
			</div>

			<div id="sensor_other" class="form-field <?php echo (($sensor != 'Other') ? 'hide' : ''); ?>">
				<label class="wide" for="sensor_other">Please enter your type of biosensor:<span class="small-error-text">*</span></label>
				<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['sensor_other']; ?></span>
				<input type="text" name="sensor_other" value="<?php echo $sensor_other ?>" size="24" class='body-text'>
			</div>
			
			<div class="form-field">
				<label for="space2">&nbsp;</label>
			</div>
			<div class="form-field">
				<label for="sensor_lot_number">Biosensor Lot #:<span class="small-error-text"></span></label>
				<input type='text' size='50' id='sensor_lot_number' name='sensor_lot_number' class='body-text' value="<?php echo $sensor_lot_number; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['sensor_lot_number']; ?></span>
			</div>
			<div class="form-field">
				<label for="subject">Email subject line:<span class="small-error-text">*</span></label>
				<input type='text' size='50' id='subject' name='subject' class='body-text' value="<?php echo $subject; ?>"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['subject']; ?></span>
			</div>
			<div class="form-field">
				<label class="wide" for="description">Description of problem:<span class="small-error-text">*</span>&nbsp;&nbsp;<span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['description']; ?></span><br />
				<textarea name='description' rows='12' cols='65' class='body-text'><?php echo $description; ?></textarea></label>
			</div>
			<div class="form-field">
				<label for="company">Attached file:</label>
				<input type='file' size='45' name='attachment' class='body-text' multiple>
			</div>
			<div class="form-field">
				<label for="space4">&nbsp;</label>
			</div>
			<label style="width:400px; margin-bottom:10px; margin-top:20px;">Enter the letters shown:</label>
			<div class="form-field">
<?php
				$captcha = new Captcha($link, "images/captcha/", "thecaptcha", "support", 4);
				$captcha_string = $captcha->GetString();
?>
				<?php $captcha->DisplayString(); ?>
				<input type="text" name="captcha" size="20"><span class="small-error-text">&nbsp;&nbsp;<?php echo $errors['captcha']; ?></span>
			</div>
			<div class="form-field">
				<label for="space3">&nbsp;</label>
			</div>
			<div class="form-field">
				<label for="submit_req">&nbsp;</label>
				<input type="button" name="submit_request" value="Submit Request" onClick="SubmitFormSetVar('support', 'support-request.html', 'thefunction', '<?php echo $captcha_string ?>')" class="submit-button">
			</div>
	
			</form>
        </div>
      </div>
      <div class="grid_3">&nbsp;</div>
      <div class="clearfix"></div>
      <!-- End Main Content --> 
      <!-- End Container --> 
    </div>
    
  </div>
  <?php
	$headfoot->PageFooter();
?>
</div>
<script>
	function show_hide (e, id) {
		if (jQuery(e).val() == 'Other')
			jQuery("#" + id).show();
		else
			jQuery("#" + id).hide();		
	}
	
	function set_type() {
		if (jQuery("#instrument_type select").val() == 'Pioneer system') {
			jQuery("#acquisition_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#analysis_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#blitz_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#pioneer_software_version select").val('Select one').prop('disabled', false);
			jQuery(".example").text('example: 11xxxxxx');
		} else if (jQuery("#instrument_type select").val() == 'BLItz system') {
			jQuery("#acquisition_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#analysis_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#pioneer_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#blitz_software_version select").val('Select one').prop('disabled', false);
			jQuery(".example").text('enter as format FB-XXXXX');
		} else {
			jQuery("#acquisition_software_version select").val('Select one').prop('disabled', false);
			jQuery("#analysis_software_version select").val('Select one').prop('disabled', false);
			jQuery("#pioneer_software_version select").val('Not applicable').prop('disabled', 'disabled');
			jQuery("#blitz_software_version select").val('Not applicable').prop('disabled', 'disabled');		
			jQuery(".example").text('enter as format FB-XXXXX');
		}
	}
	jQuery(document).ready(function () {set_type(); });
	jQuery("#instrument_type select").change(function(){ set_type(); });
</script>
</body>
</html>


<?php
function ValidateRequest($link, $userid)
{
	global $HTTP_POST_VARS;
	global $HTTP_POST_FILES;
	global $ATTACHMENT_DIR;
	global $FROM_EMAIL;
	
	$thefunction = $HTTP_POST_VARS["thefunction"];
	$firstname = strip_tags($HTTP_POST_VARS["firstname"]);
	$lastname = strip_tags($HTTP_POST_VARS["lastname"]);
	$email = strip_tags($HTTP_POST_VARS["email"]);
	$phone = strip_tags($HTTP_POST_VARS["phone"]);
	$address = $HTTP_POST_VARS["address"];
	$address2 = $HTTP_POST_VARS["address2"];
	$city = $HTTP_POST_VARS["city"];
	$statecountry = GetStateCountry();
	$state = $statecountry[0];
	$country = $statecountry[1];
    $zip = $HTTP_POST_VARS["zip"];
	$company = strip_tags($HTTP_POST_VARS["company"]);
	
	$instrument_type = $HTTP_POST_VARS["instrument_type"];
	$acquisition_software_version = $HTTP_POST_VARS["acquisition_software_version"];
	$acquisition_software_version_other = $HTTP_POST_VARS["acquisition_software_version_other"];
	$analysis_software_version = $HTTP_POST_VARS["analysis_software_version"];
	$analysis_software_version_other = $HTTP_POST_VARS["analysis_software_version_other"];
	$blitz_software_version = $HTTP_POST_VARS["blitz_software_version"];
	$pioneer_software_version = $HTTP_POST_VARS["pioneer_software_version"];
	$case_type = $HTTP_POST_VARS["case_type"];
	$case_reason = $HTTP_POST_VARS["case_reason"];
	$case_reason_other = $HTTP_POST_VARS["case_reason_other"];
	$case_origin = $HTTP_POST_VARS["case_origin"];
	$application = $HTTP_POST_VARS["application"];
	$application_other = $HTTP_POST_VARS["application_other"];
	$sensor = $HTTP_POST_VARS["sensor"];
	$sensor_other = $HTTP_POST_VARS["sensor_other"];
	$sensor_lot_number = $HTTP_POST_VARS["sensor_lot_number"];
	$subject = $HTTP_POST_VARS["subject"];
	
	$serialnum = strip_tags($HTTP_POST_VARS["serialnum"]);
	$description = strip_tags($HTTP_POST_VARS["description"]);
	$attachment = $HTTP_POST_FILES['attachment']['name'];
	$attach_temp = $HTTP_POST_FILES['attachment']['tmp_name'];

	$captcha = strip_tags($HTTP_POST_VARS["captcha"]);

	// Check for required fields:
	$errors = array();
	if (empty($firstname) || ($firstname == ""))		{	$errors['firstname'] = "required";	}
	if (empty($lastname) || ($lastname == ""))			{	$errors['lastname'] = "required";	}
	if (empty($company) || ($company == ""))			{	$errors['company'] = "required";	}
	if (empty($address) || ($address == ""))			{	$errors['address'] = "required";	}
	if (empty($city) || ($city == ""))					{	$errors['city'] = "required";	}
	if (empty($zip) || ($zip == ""))					{	$errors['zip'] = "required";	}
	if (empty($phone) || ($phone == ""))				{	$errors['phone'] = "required";	}
	if (empty($company) || ($company == ""))			{	$errors['company'] = "required";	}
	if ($country == "") {			
		$errors['country'] = "required";
	} else if ($country == "other") {
		if ($HTTP_POST_VARS["country"] == '') $errors['country'] = "required";
	} else if ($country == "USA" || $country == "Canada") {
		if ($state == "") $errors['state'] = "required";
	}
	if ($instrument_type == 'Octet system')	 {
		if ($acquisition_software_version == "Select one")	{	
			$errors['acquisition_software_version'] = "required";
		} else if ($acquisition_software_version == "Other") {
			if (empty($acquisition_software_version_other) || ($acquisition_software_version_other == ""))			{	$errors['acquisition_software_version_other'] = "required";	}		
		}
		if ($analysis_software_version == "Select one")	{	
			$errors['analysis_software_version'] = "required";
		} else if ($analysis_software_version == "Other") {
			if (empty($analysis_software_version_other) || ($analysis_software_version_other == ""))			{	$errors['analysis_software_version_other'] = "required";	}		
		}
	} else if ($instrument_type == 'BLItz system')	 {
		if ($blitz_software_version == "Select one")	{	
			$errors['blitz_software_version'] = "required";
		}
	} else if ($instrument_type == 'Pioneer system')	 {
		if ($pioneer_software_version == "Select one")	{	
			$errors['pioneer_software_version'] = "required";
		}
	} else {
		$errors['instrument_type'] = "required";	
	}
	if ($case_reason == "Select one")	{	
		$errors['case_reason'] = "required";
	} else if ($case_reason == "Other") {
		if (empty($case_reason_other) || ($case_reason_other == ""))			{	$errors['case_reason_other'] = "required";	}		
	}
	if ($application == "Select one")	{	
		$errors['application'] = "required";
	} else if ($application == "Other") {
		if (empty($application_other) || ($application_other == ""))			{	$errors['application_other'] = "required";	}		
	}
	if ($sensor == "Select one")	{	
		$errors['sensor'] = "required";
	} else if ($sensor == "Other") {
		if (empty($sensor_other) || ($sensor_other == ""))			{	$errors['sensor_other'] = "required";	}		
	}
	
	if (empty($case_type) || ($case_type == ""))			{	$errors['case_type'] = "required";	}
//	if (empty($sensor_lot_number) || ($sensor_lot_number == ""))			{	$errors['sensor_lot_number'] = "required";	}
	if (empty($subject) || ($subject == ""))			{	$errors['subject'] = "required";	}
	
	if (empty($serialnum) || ($serialnum == ""))		{	$errors['serialnum'] = "required";	}
	if (empty($description) || ($description == ""))	{	$errors['description'] = "required";	}
	if ($thefunction != strtolower($captcha)) 			{	$errors['captcha'] = "characters do not match";	}
	
	if (empty($email) || ($email == "")) {
		$errors['email'] = "required";
	} else if (!preg_match("/([\w\-]+\@[\w\-]+\.[\w\-]+)/", $email)) {
		$errors['email'] = "invalid email";
	}
	

	if (count($errors) > 0) {
		return $errors;
	}

	// Log the info in the database:
	LogFormData($link, "support", $firstname, $lastname, $email, $company, $description, "", "", $best_contact, $serialnum, $phone, "", "", "", "", $other_contact);

	$recipients = "fortebiosupport@moldev.com";
//	$subject = "Support request from $firstname $lastname";
	$body = "Support request submitted from:\n";
	$body .= "\t$firstname $lastname\n";
	$body .= "\tCompany: $company\n";
	$body .= "\tAddress: $address $address2, $city, $state, $zip $country\n";
	
	$body .= "\tEmail: $email\n";
	$body .= "\tPhone: $phone\n";	
	$body .= "\tInstrument type: $instrument_type\n";
	$body .= "\tInstrument serial #: $serialnum\n";
	
	if ($instrument_type == 'Octet system')	 {
		if ($acquisition_software_version == 'Other') 	
			$body .= "\tCurrent Octet Data Acquisition Software version[other]: $acquisition_software_version_other \n";
		else if ($acquisition_software_version != "Select one")
			$body .= "\tCurrent Octet Data Acquisition Software version: $acquisition_software_version \n";
		if ($analysis_software_version == 'Other') 	
			$body .= "\tCurrent Octet Data Analysis Software version[other]: $analysis_software_version_other \n";
		else if ($analysis_software_version != "Select one")
			$body .= "\tCurrent Octet Data Analysis Software version: $analysis_software_version \n";
	} else if ($instrument_type == 'BLItz system') {
			$body .= "\tBlitz Software version: $blitz_software_version \n";		
	} else {
			$body .= "\tPioneer Software version: $pioneer_software_version \n";		
	}
		
	$body .= "\tReason for contacting ForteBio: $case_type\n";
	if ($case_reason == 'Other') 	
		$body .= "\tMy problem or question is on[other]: $case_reason_other \n";
	else
		$body .= "\tMy problem or question is on: $case_reason \n";
	$body .= "\tContact me via: $case_origin\n";
	if ($application == 'Other') 	
		$body .= "\tExperiment Type[other]: $application_other \n";
	else
		$body .= "\tExperiment Type: $application \n";
	if ($sensor == 'Other') 	
		$body .= "\tType of Biosensor[other]: $sensor_other \n";
	else
		$body .= "\tType of Biosensor: $sensor \n";
	$body .= "\tBiosensor Lot #: $sensor_lot_number\n";
	$body .= "\tEmail subject line: $subject\n";

	$body .= "\tDescription of problem: $description\n";

	$recipients = '';
	$query = "SELECT id, email, type FROM fb_recipients WHERE type='support';";
	$result = mysql_query($query, $link);
	$rows = mysql_num_rows($result);
	for ($i = 0;  $i < $rows;  $i++) {
		if ($recipients != "") {
			$recipients .= ",";
		}
		$recipients .= mysql_result($result, $i, "email");
	}
	
//	$recipients = "oferli@gmail.com";
	if ($recipients != "") {
		if (!empty($attach_temp) && ($attach_temp != "")) {
			$filename = array(0 => array('file' => $attach_temp, 
				'mimetype' => 'application/octet-stream', 'filename' => $attachment));
			$errors['mail'] = mail_attached($recipients, $FROM_EMAIL, $subject, $body, $filename);
		}
		else {
			$headers = "From: $FROM_EMAIL";
			$errors['mail'] = mail($recipients, $subject, $body, $headers);
		}
	}
/*	if (count($errors) > 0) {
		return $errors;
	}*/
	
	GoToPage("support-thanks.html");
	exit;
}

mysql_close($link);
?>