<div class="top">
  <h1><?php echo $heading_title; ?></h1>
</div>
<div class="middle">
  <?php if ($error) { ?>
  <div class="warning"><?php echo $error; ?></div>
  <?php } ?>
  <form action="<?php echo $action; ?>" method="post" enctype="multipart/form-data" id="edit">
    <b style="margin-bottom: 3px; display: block;"><?php echo $text_your_details; ?></b>
    <div style="background: #F7F7F7; border: 1px solid #DDDDDD; padding: 10px; margin-bottom: 10px;">
      <table width="100%">
        <tr>
          <td width="150"><span class="required">*</span> <?php echo $entry_firstname; ?></td>
          <td><input type="text" name="firstname" value="<?php echo $firstname; ?>" />
            <?php if ($error_firstname) { ?>
            <span class="error"><?php echo $error_firstname; ?></span>
            <?php } ?></td>
        </tr>
        <tr>
          <td><span class="required">*</span> <?php echo $entry_lastname; ?></td>
          <td><input type="text" name="lastname" value="<?php echo $lastname; ?>" />
            <?php if ($error_lastname) { ?>
            <span class="error"><?php echo $error_lastname; ?></span>
            <?php } ?></td>
        </tr>
        <tr>
          <td><span class="required">*</span> <?php echo $entry_email; ?></td>
          <td><input type="text" name="email" value="<?php echo $email; ?>" />
            <?php if ($error_email) { ?>
            <span class="error"><?php echo $error_email; ?></span>
            <?php } ?></td>
        </tr>
        <tr>
          <td><span class="required">*</span> <?php echo $entry_telephone; ?></td>
          <td><input type="text" name="telephone" value="<?php echo $telephone; ?>" />
            <?php if ($error_telephone) { ?>
            <span class="error"><?php echo $error_telephone; ?></span>
            <?php } ?></td>
        </tr>
        <tr>
          <td><?php echo $entry_fax; ?></td>
          <td><input type="text" name="fax" value="<?php echo $fax; ?>" /></td>
        </tr>
      </table>
    </div>
    <div class="buttons">
      <table>
        <tr>
          <td align="left"><a onclick="location='<?php echo $back; ?>'" class="button"><span><?php echo $button_back; ?></span></a></td>
          <td align="right"><a onclick="$('#edit').submit();" class="button"><span><?php echo $button_continue; ?></span></a></td>
        </tr>
      </table>
    </div>
  </form>
</div>
<div class="bottom">&nbsp;</div>
