<?
If(($se==253)){
	header('HTTP/1.1 301 Moved Permanently');
	header('location: http://legionariosdecristo.org/contacto/');
	exit();
}


include("../include/db.phtml");
include("../include/dbconn.phtml");
include("../include/header.phtml");
//echo $CookieLang;
?> 
<table width="760" border="0" cellspacing="0" cellpadding="2" align="center" bgcolor="#FFFFFF">
  <tr>
    <td>
      <table width="960" border="0" cellspacing="0" cellpadding="0" align="center" class="tabla">
        <tr> 
          <td> 
            <? include("../include/table_top.phtml"); ?>
          </td>
        </tr>
        <tr> 
          <td> 
            <table width="960" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#F3F3E9">
              <tr> 
                <td rowspan="2" valign="top" width="127" background="../img/fondo_izq.gif"> 
                  <? include("../include/table_left.phtml"); ?>
                </td>
                <td colspan="2" width="624" valign="top">&nbsp;</td>
                <td rowspan="2"><img src="../img/pix_1x1_trans.gif" width="1" height="1" alt="" border="0"></td>
              </tr>
              <tr> 
                <td width="804" valign="top"> 
                  <table cellpadding="0" cellspacing="0" border="0" align="center" width="100%">
                    <tr> 
                      <td valign="top" height="600" bgcolor="#FFFFFF"> 



 <table width="100%" border="0" align="center" cellpadding="0" cellspacing="0" bgcolor="#F3F3E9">
              <tr> 
                <td align="center" height="800" valign="top"> <br>
                  <br>
                  <form method="get" name="forma" onSubmit="return(Check_Contactanos(document.forma))" action="sendmail.phtml">
                    <table width="660" border="0" cellspacing="0" cellpadding="0">
                      <tr>
                        <td colspan="3"><img valign="top" width="560" src="../img/categoria_top_box.gif"></td>
                        </tr>
                      <tr>
                        <td background="../img/categoria_left_box.gif" width="2"></td>
                        <td width="338" bgcolor="#FFFFFF"><table width="650" border="0" cellspacing="0" cellpadding="0">
                          <tr>
                            <td valign="top" height="2" align="left">&nbsp;</td>
                          </tr>
                          <tr>
                            <td valign="top" height="200" align="center"><table width="95%" border="0">
                                <tr>
                                  <td colspan="2" align="right"><div align="left"><font color="#990000" style="font-size: 20px;" face="Georgia, Times New Roman, Times, serif">&nbsp;&nbsp;Cont&aacute;ctanos</font> </div></td>
                                  <td align="right" width="34%"><a href="http://www.regnumchristi.org/espanol/listas/subscribe.phtml" target="_blank"><img src="<?php echo $rootdir?>/img/RC_Susc.jpg" width="101" height="66" border="0" /></a></td>
                                </tr>
                                <tr>
                                  <td align="right" width="20%">&nbsp;</td>
                                  <td align="right" width="46%">&nbsp;</td>
                                  <td align="right" width="34%"><font face="Verdana, Arial, Helvetica, sans-serif" color="#002B54" class="txtseccion">* <? echo gettext("Obligatorios"); ?></font></td>
                                </tr>
                                <tr>
                                  <td align="right" width="20%">&nbsp;</td>
                                  <td width="46%">&nbsp;</td>
                                  <td width="34%"><div align="left"><font class="txtseccion" face="Arial, Helvetica, sans-serif" color="#002B54"><? echo gettext("Comentario"); ?></font></div></td>
                                </tr>
                                <tr>
                                  <td align="right"><font class="txtseccion" face="Arial, Helvetica, sans-serif" color="#002B54">* <? echo gettext("Nombre"); ?>: </font></td>
                                  <td><input type="text" name="nombre" size="32" style="border: 1px solid Gray; background: #FFFFFF;" />                                  </td>
                                  <td width="34%" rowspan="6" valign="top"><textarea name="comentario" cols="30" rows="10" wrap="virtual" style="border: 1px solid Gray; background: #FFFFFF;"></textarea></td>
                                </tr>
                                <tr>
                                  <td align="right" width="20%"><font class="txtseccion" face="Arial, Helvetica, sans-serif" color="#002B54">* <? echo gettext("Pa&iacute;s"); ?>: </font></td>
                                  <td width="46%"><select name="pais">
                                      <option value="0">- <? echo $seleccione_uno ?> -</option>
                                      <?
								  $sql="SELECT * FROM NACIONALIDAD_T ORDER BY $descripcion_nac";
								  $result_pais=do_query($sql,$db);
								  while($my_row_pais=mysql_fetch_array($result_pais)){
								    printf("<option value=\"%s\">%s</option>\n",$my_row_pais["NACIONALIDAD_ID"],$my_row_pais[$descripcion_nac]);
								  }
								  ?>
                                    </select>                                  </td>
                                </tr>
                                <tr>
                                  <td align="right" width="20%"><font class="txtseccion" face="Arial, Helvetica, sans-serif" color="#002B54">* <? echo gettext("Ciudad"); ?>: </font></td>
                                  <td width="46%"><input type="text" name="ciudad" size="32" style="border: 1px solid Gray; background: #FFFFFF;" /></td>
                                </tr>
                                <tr>
                                  <td width="20%" height="37" align="right"><font class="txtseccion" face="Arial, Helvetica, sans-serif" color="#002B54">* <? echo gettext("E-mail"); ?>: </font></td>
                                  <td width="46%"><input type="text" name="email" size="32" style="border: 1px solid Gray; background: #FFFFFF;" />                                  </td>
                                </tr>
                                <tr>
                                  <td height="26" align="right"><font class="txtseccion" face="Arial, Helvetica, sans-serif" color="#002B54">* <? echo gettext("Edad"); ?>: </font></td>
                                  <td><input type="text" name="edad" size="3" maxlength="3" style="border: 1px solid Gray; background: #FFFFFF;" />                                  </td>
                                </tr>
                                <tr>
                                  <td width="20%"><!-- info.de@regnumchristi.org  -->
                                      <input type="hidden" name="subject" value="Cont&aacute;ctenos - Legi&oacute;n de Cristo (Esp)" />
                                      <input type="hidden" name="required" value="email,nombre,edad,pais" />
                                      <input type="hidden" name="page" value="<? echo($HTTP_REFERER) ?>" />                                  </td>
                                  <td width="46%">&nbsp;</td>
                                </tr>
                                <tr align="center">
                                  <td colspan="3">&nbsp;</td>
                                </tr>
                                <tr align="center">
                                  <td colspan="3"><input type="button" value="<? echo gettext("Cancelar"); ?>" onclick="history.back()" />
                                      <input type="submit" value="<? echo gettext("Enviar"); ?>" />                                  </td>
                                </tr>
                              </table>
                                <br />
                            </td>
                          </tr>
                          <tr>
                            <td valign="bottom" width="196">&nbsp;</td>
                          </tr>
                        </table></td>
                        <td background="../img/margen.gif" width="2"></td>
                      </tr>
                      <tr>
                        <td height="8" colspan="3" background="../img/margen_bajo2.gif"></td>
                        </tr>
                    </table>
                    </form>
                </td>
              </tr>
              <tr> 
                <td align="center"> 
                  <? //include("../include/copyright.phtml"); ?>
                </td>
              </tr>
            </table>




                      </td>
                    </tr>
                  </table>
                </td>

              </tr>
            </table>
          </td>
        </tr>
        <tr> 
          <td> 
            <? include("../include/copyright.phtml"); ?>
          </td>
        </tr>
      </table>
    </td>
  </tr>
</table>
<?
include("../include/footer.phtml");
include("../include/dbclose.phtml");
?>
