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<mvt:if expr="l.settings:messages:error_message_count">
	<div class="error-message">
		<mvt:foreach iterator="error" array="messages:error_messages">
			&mvt:error;
		</mvt:foreach>
	</div>
</mvt:if>
<mvt:if expr="l.settings:messages:information_message_count">
	<div class="information-message">
		<mvt:foreach iterator="message" array="messages:information_messages">
			&mvt:message;
		</mvt:foreach>
	</div>
</mvt:if>

<form action="&mvte:urls:_self:auto;" method="POST">
	<input type="hidden" name="Action" value="MIVA_REQUEST_QUOTE">

	<label for="RequestQuote_Include">Include Basket Contents in Quote Request?</label>
	<input type="radio" name="RequestQuote_Include" value="1" checked> Yes
	<input type="radio" name="RequestQuote_Include" value=""> No<br>

	<label for="RequestQuote_FirstName">First Name:</label>
	<input type="text" name="RequestQuote_FirstName" id="RequestQuote_FirstName" value="&mvte:global:RequestQuote_FirstName;" required/><br>

	<label for="RequestQuote_LastName">Last Name</label>
	<input type="text" name="RequestQuote_LastName" value="&mvte:global:RequestQuote_LastName;" required /><br>

	<label for="RequestQuote_Phone">Phone</label>
	<input type="text" name="RequestQuote_Phone" value="&mvte:global:RequestQuote_Phone;" required /><br>

	<label for="RequestQuote_Email">Email</label>
	<input type="text" name="RequestQuote_Email" value="&mvte:global:RequestQuote_Email;" required /><br>

	<label for="RequestQuote_Country">Country</label>
	<input type="text" name="RequestQuote_Country" value="&mvte:global:RequestQuote_Country;" /><br>

	<label for="RequestQuote_Zip">Zip</label>
	<input type="text" name="RequestQuote_Zip" value="&mvte:global:RequestQuote_Zip;" /><br>


	<label for="RequestQuote_Comment">Comment</label>
	<textarea rows="4" cols="50" name="RequestQuote_Comment">

	</textarea>
	<br>

	<input type="submit" value="Send Quote">

</form>