<script type="text/javascript" src="/sites/default/modules/civicrm/packages/jquery/jquery.js"></script>
<script type="text/javascript" src="http://transparency.ge/sites/default/modules/civicrm/packages/jquery/plu...
<script type="text/javascript">var cj = jQuery.noConflict(); $ = cj;</script>

<link rel="stylesheet" href="http://transparency.ge/sites/default/modules/civicrm/css/deprecate.css" type="text/css" />
<link rel="stylesheet" href="http://transparency.ge/sites/default/modules/civicrm/css/extras.css" type="text/css" /><form action="/civicrm/profile/create?gid=10&amp;reset=1" method="post" name="Edit" id="Edit" >

<script type="text/javascript" src="/sites/default/modules/civicrm/js/Common.js"></script>
<script type="text/javascript" src="/sites/default/civicrm/templates/CRM/Profile/Form/10/outreach.js"></script>
<style type="text/css" media="all">@import url("/sites/default/civicrm/templates/CRM/Profile/Form/10/outreach.css");</style>

<div id="crm-container" class="outreach-node" lang="en" xml:lang="en">

<div class="form-layout-compressed">
<div id="outreach-left">
<h3 class="test1">თქვენი საკონტაქტო ინფორმაცია</h3>
<div id="editrow-first_name" class="crm-section editrow_first_name-section form-item"><div class="label"><label for="first_name">სახელი <span class="crm-marker" title="ეს ველი სავალდებულოა.">*</span></label></div><div class="edit-value content"><input maxlength="64" size="10" name="first_name" type="text" id="first_name" class="form-text big required"></div><div class="clear"></div></div>
<div id="editrow-last_name" class="crm-section editrow_last_name-section form-item"><div class="label"><label for="last_name">გვარი <span class="crm-marker" title="ეს ველი სავალდებულოა.">*</span></label></div><div class="edit-value content"><input maxlength="64" size="30" name="last_name" type="text" id="last_name" class="form-text big required"></div><div class="clear"></div></div>
<div id="editrow-email-2" class="crm-section editrow_email-2-section form-item"><div class="label"><label for="email-2">ელ.ფოსტა <span class="crm-marker" title="ეს ველი სავალდებულოა.">*</span></label></div><div class="edit-value content"><input maxlength="64" size="30" name="email-2" type="text" id="email-2" class="form-text big required"></div><div class="clear"></div></div>
</div>

<div id="outreach-right">
<h3>რა სახის ინფორმაციას ელით ჩვენგან?</h3>
<div id="editrow-custom_1" class="crm-section editrow_custom_1-section form-item"><div class="label"><label>ანგარიშები <span class="crm-marker" title="ეს ველი სავალდებულოა.">*</span>
</label></div><div class="edit-value content"><input value="1" type="radio" id="CIVICRM_QFID_1_2" checked="checked" name="custom_1" class="form-radio"><label for="CIVICRM_QFID_1_2">დიახ</label>&nbsp;<input value="0" type="radio" id="CIVICRM_QFID_0_4" name="custom_1" class="form-radio"><label for="CIVICRM_QFID_0_4">არა</label></div><div class="clear"></div></div>

<div id="editrow-custom_3" class="crm-section editrow_custom_3-section form-item"><div class="label"><label> ყოველკვირეული განახლება
<span class="crm-marker" title="This field is required.">*</span>
</label></div><div class="edit-value content"><input value="1" type="radio" checked="checked" id="CIVICRM_QFID_1_10" name="custom_3" class="form-radio"><label for="CIVICRM_QFID_1_10">დიახ</label>&nbsp;<input value="0" type="radio" id="CIVICRM_QFID_0_12" name="custom_3" class="form-radio"><label for="CIVICRM_QFID_0_12">არა</label></div><div class="clear"></div></div>

<div id="editrow-custom_2" class="crm-section editrow_custom_2-section form-item">
<div class="label"><label>პრეს რელიზები და განცხადებები <span class="crm-marker" title="ეს ველი სავალდებულოა.">*</span>
</label></div><div class="edit-value content"><input value="1" type="radio" id="CIVICRM_QFID_1_6" name="custom_2" class="form-radio"><label for="CIVICRM_QFID_1_6">დიახ</label>&nbsp;<input value="0" type="radio" id="CIVICRM_QFID_0_8" name="custom_2" checked="checked" class="form-radio"><label for="CIVICRM_QFID_0_8">არა</label></div><div class="clear"></div></div>

<div id="editrow-custom_8" class="crm-section editrow_custom_8-section form-item"><div class="label"><label> ბლოგები
<span class="crm-marker" title="This field is required.">*</span>
</label></div>
<div class="edit-value content"><input value="1" type="radio" id="CIVICRM_QFID_1_14" name="custom_8" class="form-radio"><label for="CIVICRM_QFID_1_14">დიახ</label>&nbsp;<input value="0" type="radio" id="CIVICRM_QFID_0_16" name="custom_8" class="form-radio" checked="checked"><label for="CIVICRM_QFID_0_16">არა</label></div><div class="clear"></div></div>

<div id="outreach-checkall" class="crm-section form-item"><button class="minimal checkall" onclick="return Outreach.checkAll();">ყველა</button></div></div>

</div>
<div style="clear:both"></div>

<!-- end form-layout-compressed for last profile --> <div class="messages help"><p>თქვენს მიერ მოწოდებული ინფორმაცია არ გადაეცემა მესამე პირს.
</p></div>

<div class="crm-submit-buttons">
<button accesskey="S" name="_qf_Edit_next" value="გაგზავნა" type="submit" id="_qf_Edit_next" class="minimal">გაგზავნა</button> <button name="_qf_Edit_cancel" value="გაუქმება" type="reset" id="_qf_Edit_cancel" class="minimal">გაუქმება</button>
</div>

</div>

<input name="postURL" type="hidden" value="/გზავნილები/მადლობა" />
<input name="cancelURL" type="hidden" value="/en/civicrm/profile?reset=1&amp;gid=10" />
<input name="add_to_group" type="hidden" value="2" />
<input name="_qf_default" type="hidden" value="Edit:cancel" />

</form>
<div class="clear-block"></div>