
<!--jscript-->
<script language="javascript" src="../jscript/calendar.js"></script>
<script language="JavaScript" src="../jscript/capitalize_textbox.js"  type="text/javascript"></script>  

<?php include('../include/wait.php') ?>
</head>

<body onLoad="MM_showHideLayers('wait','','hide')" onFocus="MM_showHideLayers('wait','','hide');">
<div class="wizard_page_middle_frame">
<form id="feedbackform" method="get" >
      <div class="wizard_frame">
                <table width="600" id="table_wizard_frame2">
                  <tr>
                    <td width="191"><label class="label_std">Road license expire end of:&nbsp;</label></td>
                    <td width="230"><select name="license_select" class="selectbox120"  >
<option value="January">January</option>
                      <option value="February">February</option>
                      <option value="March">March</option>
                      <option value="April">April</option>
                      <option value="May">May</option>
                      <option value="June">June</option>
                      <option value="July">July</option>
                      <option value="August">August</option>
                      <option value="September">September</option>
                      <option value="October">October</option>
                      <option value="November">November</option>
                      <option value="December">December</option>
                      <option value="<?php echo $_SESSION['license'] ?>" selected="selected"><?php echo $_SESSION['license'] ?></option>
           </select></td>
                    <td width="27">&nbsp;</td>
                    <td width="132">&nbsp;</td>
                  </tr>
                  <tr>
                    <td><label class="label_std">BA licence expire end of:</label></td>
                    <td><select name="ba_license_select" class="selectbox120"  >
                      <option value="January">January</option>
                      <option value="February">February</option>
                      <option value="March">March</option>
                      <option value="April">April</option>
                      <option value="May">May</option>
                      <option value="June">June</option>
                      <option value="July">July</option>
                      <option value="August">August</option>
                      <option value="September">September</option>
                      <option value="October">October</option>
                      <option value="November">November</option>
                      <option value="December">December</option>
                      <option value="<?php echo $_SESSION['ba_license'] ?>" selected="selected"><?php echo $_SESSION['ba_license'] ?></option>
                    </select></td>
                    <td>&nbsp;</td>
                    <td>&nbsp;</td>
                  </tr>
                </table>
              </div>


              <div class="wizard_frame">
                <table width="582" id="table_wizard_frame">
                  <tr>
                    <td width="70" valign="top"><label class="label_std">Notes</label></td>
                    <td width="500" valign="top"><label class="label_std"></label>
                    <textarea name="notes_text" cols="60" rows="3" class="text_box" id="notes_text"><?php echo $_SESSION['notes'] ?></textarea></td>
                  </tr>
                </table>
              </div>
<div class="wizard_spacer_frame" style="height:10px;"></div>
<div class="wizard_frame">             
              <table width="645" height="50" align="center" id="tableButtonBar">
                <tr>
                  <td width="117"><input type="button" name="lastprev_button" class="imagebutton" value="Prev" onClick="needToConfirm = false; MM_showHideLayers('wait','','show'); MM_goToURL('parent','vehicleWizbase.php?s=&amp;p=3');return document.MM_returnValue" /></td>
                  <td width="115">&nbsp;</td>
                  <td width="99"><span class="wizard">
                    <input name="s" type="hidden" id="s" value="4" />
                    <input name="p" type="hidden" id="p" value="4" />
                  </td>
                  <td width="125"><input name="cancelbutton" type="button" class="imagebutton" id="cancelbutton" onClick="needToConfirm = false; cancel_confirmation(1, '../store/store_main.php');" value="Cancel" /></td>
                  <td width="110" align="left"><input type="submit" name="next_button" class="imagebutton" value="Next" onClick="needToConfirm = false; MM_showHideLayers('wait','','show');" /></td>
                </tr>
              </table>
              </div>
</form>
</div>