<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE html [
	<!ENTITY header SYSTEM "../common/xml/entities/header.xml">
	<!ENTITY navigation-left SYSTEM "../common/xml/entities/navigation-left.xml">
	<!ENTITY navigation-right SYSTEM "../common/xml/entities/navigation-right.xml">
	<!ENTITY footer SYSTEM "../common/xml/entities/footer.xml">
]>
<html>
<head><meta http-equiv="Content-Type" content="text/html;charset=utf-8" />
<TITLE>Iconics Ireland - Manufacturing Intelligence and Business Visualisation Software inc. SCADA HMI OPC GENESIS</TITLE>
<META NAME="DESCRIPTION" CONTENT="ICONICS is a leader in the development of Web-enabled manufacturing intelligence and business visualisation software."/>
<META NAME="KEYWORDS" CONTENT="ICONICS, OPC, HMI/SCADA, SCADA, HMI, MMI, Manufacturing Intelligence, Business Visualization, Business Visualisation, Collaborative Manufacturing, industrial automation software, automation software, visualisation, visualization, Human Machine Interface, Man Machine Interface, trending, multimedia alarming, historical, logging, enterprise, reporting, web-enabled, KPI, OEE, Digital Dashboards, Plant Portal, Business Intelligence, Collaboration, Quality, Industrial Information, Optimization, Data Services, Expert Systems, predictive, multivariate, Performance, Assessment, Reliability, warehouse, industrial information management, data integration, manufacturing automation, factory automation system, Ikonics, iconics, ikonics, GENESIS32, genesis32, graphworx, graphworks, alarmworks, alarmworx, trendworks, trendworx"/>
<link rel="stylesheet" type="text/css" href="../styles/standard.css"/>

</head>
<body>

&header;

<table cellspacing="0" cellpadding="0" style="width: 990px;">
<tr>
&navigation-left;
<!-- fill in here -->
<td class="content">

<table border="0">
	<tr>
		<td width="100%">
			<table width="100%">
				<tr>
					<td class="common heading0">
						Training Request
					</td>
				</tr>
				<tr>
					<td class="headerline"></td>
				</tr>
			</table>
		</td>
		<td rowspan="3"><img src="../images/headerimage/headersubmit.jpg" border="0" /></td>
	</tr>
	<tr>
		<td class="nav-link">
			<b>
			<a href="../support/support.php">Technical Support</a>
			Training</b>
		</td>
	</tr>
</table>


<table border="0" cellspacing="5px" cellpadding="5px">
  <tr>
    <td>Please fill out the requested form below</td>
  </tr>
  <tr>
  	<td height="10px"></td>
  </tr>
</table>

<form enc-type="text/plain" method="get" action="../support/emailtrainingrequest.php">
<mi:execute
		type="query"
		query="../user/sql/currentuser"
		usedefaults="1"
		defaults="FIRSTNAME=;LASTNAME=;COMPANY=;EMAIL=;ADDRESS1=;ADDRESS2=;ADDRESS3=;CITY=;COUNTY=;POSTCODE=;PHONE=;">

<table>
  <tr>
		<td class="common" width="25%"><span class="stars">*</span>First Name</td><td><input name="FIRSTNAME" value="{FIRSTNAME}" type="text" size="30"/></td>
  </tr>
  <tr>
	 	<td class="common"><span class="stars">*</span>Last Name</td><td><input name="LASTNAME" value="{LASTNAME}" type="text" size="30"/></td>
  </tr>
  <tr>
		<td class="common"><span class="stars">*</span>Email Address</td><td><input name="EMAIL" value="{EMAIL}" type="text" size="30"/></td>
  </tr>
  <tr>
		<td class="common"><span class="stars">*</span>Company</td><td><input name="COMPANY" value="{COMPANY}" type="text" size="30"/></td>
  </tr>
  <tr>
		<td class="common"><span class="stars">*</span>Address</td><td><input name="ADDRESS1" value="{ADDRESS1}" type="text" size="30"/></td>
  </tr>
  <tr>
      <td class="common"></td><td><input name="ADDRESS2" value="{ADDRESS2}" type="text" size="30"/></td>
  </tr>
  <tr>
      <td class="common"></td><td><input name="ADDRESS3" value="{ADDRESS3}" type="text" size="30"/></td>
  </tr>
  <tr>
		<td class="common"><span class="stars">*</span>Telephone</td><td><input name="PHONE" value="{PHONE}" type="text" size="30"/></td>
  </tr>
  <tr>
  	<td class="common"><span class="stars">*</span>City</td><td><input name="CITY" value="{CITY}" type="text" size="30"/></td>
  </tr>
  <tr>
      <td class="common">County</td><td><input name="COUNTY" type="text" size="30"/></td>
  </tr>
  <tr>
      <td class="common"><span class="stars">*</span>Post Code</td><td><input name="POSTCODE" value="{POSTCODE}" type="text" size="30"/></td>
  </tr>
<mi:execute
		type="query"
		evaluatefirst="1"
		query="../user/sql/currentuser">
  <tr>
  	<td class="common"><span class="stars">*</span>Country</td>
  	<td>
  		<select size="1" name="COUNTRY" style="width: 206px;">
				<option  value="0">[Select Country]</option>
				<mi:execute
						name="refCountry"
						type="query"
						parameters="CountryID={COUNTRY};"
						query="../user/sql/list-country">
					<option  value="{refCountry->ID}{refCountry->Selected}">{refCountry->Name}</option>
				</mi:execute>
			</select>
  	</td>
	</tr>
</mi:execute>
  <tr>
      <td class="common">Selected Training Dates</td><td><input name="DATES" value="{startDate} to {theEndDate}" type="text" size="30"/></td>
  </tr>
  <tr>
      <td class="common">Type of Training</td><td><input name="TYPES" value="{theType} training" type="text" size="30"/></td>
  </tr>
  <tr>
  	<td></td>
  	<td class="common">
  		<input class="input-button" type="submit" value="Submit Request"></input>
  		<input class="input-button" type="reset" value="Reset"></input>
  	</td>
  	<td></td>
   </tr>

</table>

</mi:execute>
</form>
</td>

&navigation-right;
</tr>
</table>
&footer;
</body>
</html>
