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<head>
<title>WKFS Application Feedback</title>
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	<meta http-equiv="Pragma" content="no-cache" />
	<meta http-equiv="Expires" content="0" />
    <link rel="stylesheet" href="https://documentation.wolterskluwerfs.com/Help/resources/bootstrap/3.3.6/css/bootstrap.min.css" />
    <link rel="stylesheet" href="https://documentation.wolterskluwerfs.com/Help/resources/font-awesome/4.6.3/css/font-awesome.min.css" />
	
	<style>
        @font-face {
            font-family: PrimaryFontLight;
            src: url(https://documentation.wolterskluwerfs.com/Help/resources/fonts/FiraSans-Light.ttf);
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        @font-face {
            font-family: FiraItalics;
            src: url(https://documentation.wolterskluwerfs.com/Help/resources/fonts/FiraSans-Italic.ttf);
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        .container {
            width: auto;
            max-width: 728px;
        }
		.banner {
			width="728px";
			border="0";
			margin-top:10px;
		}
        .form-group {
            margin-bottom: 8px;
            line-height: .7;
			margin-left: 10px;
        }
		.helpicon {
			width: 50px;
		}
		.helplabel {
			padding-top: 10px;
			padding-bottom: 10px;
		}
		.pushright {
			text-indent: 20px;
		}
		.right40 {
			margin-left: 40px;
		}
        #feedbackForm {
            font-size: 12px;
        }
        h1,h2,h3,h4,h5,h6{
            font-family: 'PrimaryFontLight', Fallback,'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
            font-style:normal;
            font-weight:400;
            margin:0 0 1em;
            clear:both;
            color: rgb(110, 187, 31);}
        /*h3 {
            font-size: 33px;
            color: rgb(110, 187, 31);
            font-weight: 100;
            font-family: Fira Sans, Segoe UI Light, Segoe UI, Helvetica, Garuda, Arial, sans-serif;
            font-style: normal;
            line-height: 1.167;
        }*/
        .submitbtn {
            font-size: 33px;
            font-family: 'PrimaryFontLight', Fallback,'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
        }
        /*.glyphicon-user, .glyphicon-home, .glyphicon-envelope, .glyphicon-earphone, .glyphicon-list, .glyphicon-edit {
            color:rgb(110, 187, 31);
        }*/
		div.BannerTitle {
			position: absolute;
			top: 15px;
			right: 0px;
			width: 520px;
			height: 62px;
			color: white;
			font-size: 36px;
			font-family: FiraItalics;
		}
		.blue {
			color: #007AC3;
		}
    </style>
	
	
</head>
<body>

<!-- http://stackoverflow.com/questions/979975/how-to-get-the-value-from-the-url-parameter -->
	<script>
		document.getElementById('txtUrl').value = window.location.href;
		var app = location.search.split('app=')[1];
	</script>
						
<!--						
<h3> Contact US</h3>
<form action="thankyou.php" method="post">
  Name:<br>
  <input type="text" name="u_name" required><br>
 
  Email:
  <input type="email" name="u_email" required><br>

Subject:<br>
  <input type="text" name="subj" required><br>

Message:<br>
  <input type="text" name="message" required><br>
<input type="submit" value="Submit"><br>
</form>
-->



    <div class="container">
        <div id="contact_form" class="row">
			
			<div class="col-md-12">
                
                <!-- <div class="col-md-4" style="margin-bottom:20px"></div> -->
                    <table class="banner">
					  <tr>
						<td colspan="2">
						<img src="https://documentation.wolterskluwerfs.com/Help/resources/img/Feedback-Leaderboard.png" alt="Wolters Kluwer" class="logo" height="90" width="728" />
							<div class="BannerTitle">
								<script>
									document.write("Application Feedback")
								</script>
							</div>
						</td>
					  </tr>
					  <tr>
						<td>&nbsp;</td>
					  </tr>
                      <tr>
                        <td width="100px" style="text-align:right">
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									document.write('<img src="https://documentation.wolterskluwerfs.com/Help/resources/img/app-icons/Launcher.png" class="logo" height="64" width="64" >');
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									document.write('<img src="https://documentation.wolterskluwerfs.com/Help/resources/img/app-icons/EmailTemplates.png" class="logo" height="64" width="64" >');
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									document.write('<img src="https://documentation.wolterskluwerfs.com/Help/resources/img/app-icons/DITA.png" class="logo" height="64" width="64" >');
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									document.write('<img src="https://documentation.wolterskluwerfs.com/Help/resources/img/app-icons/RevHst.png" class="logo" height="64" width="64" >');
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								else if (app == "RE3") {
									document.write('<img src="https://documentation.wolterskluwerfs.com/Help/resources/img/app-icons/WK.png" class="logo" height="64" width="70" >');
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						</td>
                        <td width="*" style="padding-left:20px">
							<h3 style="margin-bottom:10px">
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									document.write(app);
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								else if (app =="PubAssistFTP") {
									document.write("PubAssist FTP")
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								else if (app =="RevHst") {
									document.write("Revision History")
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								else if (app =="Launcher") {
									document.write("InfoDev Launcher")
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									document.write("DITA-OT-InfoDev")
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								else if (app =="RE3") {
									document.write("Requirements Editor")
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								document.write(' Feedback</span>');
							</script>
							</h3>
                          <div style="margin-left:30px">
                            <p>
							<b><span style="font-size:12px">This form is provided for feedback regarding the 
							<script>
								var app = location.search.split('app=')[1];
								if (app =="PubAssist") {
									document.write(app);
								}
								else if (app =="PubAssistFTP") {
									document.write("PubAssist FTP")
								}
								else if (app =="RevHst") {
									document.write("Revision History")
								}
								else if (app =="Launcher") {
									document.write("InfoDev Launcher")
								}
								else if (app =="IDET") {
									document.write("InfoDev Email Templates")
								}
								else if (app =="IDDZ") {
									document.write("InfoDev DITAZip")
								}
								else if (app =="DITA-OT-InfoDev") {
									document.write("DITA-OT-InfoDev")
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								else if (app =="RE3") {
									document.write("Requirements and Content Editor")
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						   application.</span></b><br/>
                              <span style="font-size:10px">If you would like to provide comments regarding documentation, please please do so directly from the application online documentation.</span></p>
                        </div></td>
                      </tr>
                    </table>
                    
              <div style="font-size:10px;margin-left:30px"></div>
                    <form name="contactform" method="post" action="thankyou.php">


                        <input type="hidden" id="txtUrl" name="txtUrl" value="" />

                        <div class="form-group">
                            <!--<label class="control-label" for="first_name">Full Name *</label>-->
                            <br />
                            <div class="input-group">
                                <span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
                                <input type="text" class="form-control" id="inputName" name="full_name" placeholder="* Enter your full name" required/>
                                <span class="input-group-addon"><!--<i class="glyphicon glyphicon-unchecked form-control-feedback"></i>--></span>
                            </div>
                            <span class="help-block" style="display: none;">Please enter your name.</span>
                        </div>

                        <div class="form-group">
                            <!--<label class="control-label" for="company">Full Name *</label>-->
                            <br />
                            <div class="input-group">
                                <span class="input-group-addon"><i class="glyphicon glyphicon-home"></i></span>
                                <input type="text" class="form-control" id="inputCompany" name="company" placeholder="Enter your Company name" />
                                <span class="input-group-addon"><!--<i class="glyphicon glyphicon-unchecked form-control-feedback"></i>--></span>
                            </div>
                            <span class="help-block" style="display: none;">Please enter your Company  name.</span>
                        </div>

                        <div class="form-group">
                            <!--<label class="control-label" for="email">Email Address *</label>-->
                            <br />
                            <div class="input-group">
                                <span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
                                <input type="email" class="form-control" id="email" name="email" placeholder="* Enter your email address" />
                                <span class="input-group-addon"><!--<i class="glyphicon glyphicon-unchecked form-control-feedback"></i>--></span>
                            </div>
                            <span class="help-block" style="display: none;">Please enter a valid e-mail address.</span>
                        </div>

						<!--
                        <div style="margin-left:50px">
                            <div class="checkbox checkbox-inline" style="margin:0px; width:350px">
                                <input type="checkbox" name="contactme" id="ContactMe" />
                                <label for="ContactMe" style="margin-left:-20px">I would like to be contacted.</label>
                            </div>
                        </div>
						
						-->

                        <div class="form-group">
                            <!--<label class="control-label" for="email">Telephone</label>-->
                            <br />
                            <div class="input-group">
                                <span class="input-group-addon"><i class="glyphicon glyphicon-earphone"></i></span>
                                <input type="tel" class="form-control" id="telephone" name="telephone" placeholder="Enter your telephone number" />
                                <span class="input-group-addon"><!--<i class="glyphicon glyphicon-unchecked form-control-feedback"></i>--></span>
                            </div>
                            <span class="help-block" style="display: none;">Please enter a valid phone number.</span>
                        </div>

                        <hr />

                        <div class="form-group">
                            <!--<label class="control-label" for="email">Product</label>-->
                            <br />
                            <div class="input-group">
                                <span class="input-group-addon"><i class="glyphicon glyphicon-list"></i></span>
                                <select id="product" name="product" style="width:100%; height:30px">
                                    <option value="None selected">Reason for your feedback...</option>
                                    <option value="General Comment">General Comment</option>
                                    <option value="Feature Request">Feature Request</option>
                                    <option value="Possible Defect Identified">Possible Defect Identified</option>
									<script>
										var app = location.search.split('app=')[1];
										if (app =="PubAssist") {
											document.write('<option value="Team Email Feature">Team Email Feature</option>');
										}
										else if (app =="RE3") {
											document.write('<option value="--------------">--------------</option>');
											document.write('<option value="Authoring REQs">Authoring REQs</option>');
											document.write('<option value="DocViewer">DocViewer</option>');
											document.write('<option value="Merge Sessions">Merge Sessions</option>');
											document.write('<option value="Transactions">Transactions</option>');
											document.write('<option value="Setup and Configuration Features">Setup and Configuration Features</option>');
										}
									</script>
                                </select>
                                <span class="input-group-addon"><!--<i class="glyphicon glyphicon-unchecked form-control-feedback"></i>--></span>
                            </div>
                            <span class="help-block" style="display: none;">Please select a reason for submitting feedback (this helps us route your comments).</span>
                        </div>
						
						<div class="form-group addheight">
							<!-- <label class="form_field">For further help, see also: (opens in new tab/window) </label> -->
							<p class="addheight"><span id="more_help"></span></p>
						</div>

                        <div class="form-group">
                            <!--<label class="control-label" for="message">Message *</label>-->
                            <br />
                            <div class="input-group">
                                <span class="input-group-addon"><i class="glyphicon glyphicon-edit"></i></span>
                                <textarea rows="5" cols="30" class="form-control" id="comments" name="comments" placeholder="* Enter your message"></textarea>
                                <span class="input-group-addon"><!--<i class="glyphicon glyphicon-unchecked form-control-feedback"></i>--></span>
                            </div>
                            <span class="help-block" style="display: none;">Please enter a message.</span>
                        </div>

                        <button type="submit"
                                id="feedbackSubmit"
                                class="btn btn-success btn-lg"
                                data-loading-text="Sending..."
                                style="display: block; margin-top: 10px; margin-left: 10px; text-align:right">
                            <i class="fa fa-send-o fa-2x pull-left">&nbsp;<span class="submitbtn">&nbsp;Submit</span></i>
                        </button>

                        <br />


                    </form>


                </div></form>
            </div> <!--col-md-12-->
        </div> <!--contact_form-->
    </div> <!--container-->

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notEmpty()

document.getElementById("product").onchange = notEmpty;
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</body>
</html>