{form->rootpath_script}
{form->basepath_script}
         <div class="top-content"> 
           {form->start name="formSuggestSeller" method="post" action="page/suggestASeller/"}
			{form->hidden name="requestPath" value=$requestPath}
		   <a name="formFocus"></a>
           {*form->hidden name="businessstatehidValue"*}
              <h3 class="bord-bottom-dot mt-3">{$language.lblContactInformation}</h3>
              <fieldset class="form-field04  ">
           <ul class="form1">
            <li class="row">
            <div class="col-sm-4 col-12 mb-3">
             <div class="clearfix"> <div class="label clearfix">
                <label>{$language.lblSellerName} </label>
                <span class="mndty text-secondary text-primary">*</span></div>
              <div class="field"> {form->textbox id="businessName" name="businessName"  maxlength="100"  class="form-control" validate="required" validate_event="submit" error=$language.errSellerName} </div>
              </div>
             </div>
              <div class="col-sm-4 col-xs-12 mb-3">
              	<div class="clearfix">
                 <div class="label clearfix">
                <label>{$language.lblTypeBusiness} </label>
                <span class="mndty text-secondary">*</span></div>
              <div class="field">{form->select id="businessType" maxlength="50" name="businessType" caption="->{$language.lblSelect}" content=$resParentBusiness  class="form-control" validate="required" validate_event="submit" error=$language.errBusinessType}</div>
                </div>
              </div>
            </li>
             <li class="row">
            <div class="col-sm-4 col-xs-12 mb-3">
             <div class="clearfix"> 
             <div class="label clearfix">
                <label>{$language.lblCity} </label>
                <span class="mndty text-secondary">*</span></div>
              <div class="field"> {form->textbox name="city"  maxlength="100"  class="form-control"  validate="required" validate_event="submit" error=$language.errBusCity}</div>
              </div>
             </div>
              <div class="col-sm-4 col-xs-12 mb-3">
              	<div class="clearfix">
                <div class="label clearfix">
                    <label>{$language.lblWebsite}</label>
                </div>
              <div class="field"> {form->textbox name="website" maxlength="100"  class="form-control" validate="isUrl" validate_event="submit" error=$language.errInvalidUrl}</div>
                </div>
              </div>
            </li>
            
            <li class="row">
            <div class="col-sm-4 col-xs-12 mb-3">
             <div class="clearfix"> 
             <div class="label clearfix">
                <label>{$language.lblPhoneNumber}</label>
                <span class="mndty text-secondary">*</span></div>
              <div class="field">{form->textbox name="phone"  maxlength="100"  class="form-control" validate="required"  validate_event="submit" error=$language.errPhone}  </div>
              </div>
             </div>
              <div class="col-sm-4 col-xs-12 mb-3">
              	<div class="clearfix">
                <div class="label clearfix">
                <label>{$language.lblEmail} </label>
                <span class="mndty text-secondary">*</span></div>
              <div class="field"> {form->textbox id="businessReqEmail" maxlength="50" name="businessReqEmail" caption="->{$language.lblSelect}" options=$resListCountry  class="form-control"  validate="required~*email" validate_event="submit" error=$language.errEmailID|cat:'~*'|cat:$language.errValidEmail}</div>
                </div>
              </div>
            </li>
            <li class="row">
              <div class="col-sm-4 col-xs-12 mb-3">
              	<div class="clearfix">
                <div class="label clearfix">
                <label>{$language.lblComments} </label> 
                </div>
               <div class="field"> {form->textarea  name="comments" cols="5" rows="5"  class="form-control"}  </div>
                </div>
              </div>
            </li>
             <li class="clearfix mb-3">
            <div class="label clearfix"></div>
              <div class="dot"></div>
              <div class="field"> 
            {form->submit name="submitSuggestSeller" id="submitSuggestSeller" class="btn btn-secondary btn-md" form="formSuggestSeller" validate_submit="yes"  value="{$language.lblSubmitButton}"}
            </div>
            </li>        
            
            </ul>
              </fieldset>
         
            {form->close}
            </div>
<script type="text/javascript">
    var lblSelect 	= '{$language.lblSelect}';
	var lblHtmltags	= "{$language.lblHtmltags}";
</script>
<script type="text/javascript" src="{$common_frontend_js}/forms.page.js"></script>

{html->script_group_end}
{form->validate_script form="formSuggestSeller"}