<?xml version="1.0" encoding="UTF-8"?>

<form url="purchase.php"
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 emailuser="false"
 verifymessage="The e-mail address you entered does not match!"
 reqmessage="One or more fields are required."
 invalidemailmsg="does not appear to be a valid e-mail address. Would you like to change it?"
 transition="0"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf;*.html;*.docx;*.xslx"
>

<hidden
 name="thankyoupage"
 value="http://www.tct.is"
></hidden>

<hidden
 name="subject"
 value=""
></hidden>

<combobox
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 isemail="false"
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</combobox>

<combobox
 name="Month"
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 y="125"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="100"
 h="20">
  <item name=""></item>
  <item name="Jan"></item>
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  <item name="Okt"></item>
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</combobox>

<combobox
 name="Year"
 x="101"
 y="150"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="100"
 h="20">
  <item name=""></item>
  <item name="2009"></item>
  <item name="2010"></item>
  <item name="2011"></item>
  <item name="2012"></item>
  <item name="2013"></item>
  <item name="2014"></item>
  <item name="2015"></item>
</combobox>

<combobox
 name="Request sent by"
 x="438"
 y="100"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="true"
 w="111"
 h="20">
  <item name=""></item>
  <item name="Kristján Björn Ómarsson"></item>
  <item name="Stephen Glover"></item>
  <item name="James Barton"></item>
  <item name="Haukur Hilmarsson"></item>
  <item name="Stephen W. Morris"></item>
  <item name="Halldór Kvaran"></item>
</combobox>

<combobox
 name="Location of purchase"
 x="439"
 y="126"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="187"
 h="20">
  <item name=""></item>
  <item name="Fjölblendir Iceland"></item>
  <item name="Fjölblendir Ireland"></item>
  <item name="QUB"></item>
</combobox>

<combobox
 name="Item to be shipped to"
 x="439"
 y="151"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="188"
 h="20">
  <item name=""></item>
  <item name="Fjölblendir Iceland"></item>
  <item name="Fjölblendir Belfast"></item>
  <item name="QUB"></item>
</combobox>

<textinput
 name="E-mail"
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 y="100"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
 editable="true"
  restrict="email"
>
</textinput>

<combobox
 name="Currency"
 x="450"
 y="301"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 required="true"
 isemail="false"
 w="100"
 h="20">
  <item name=""></item>
  <item name="GBP"></item>
  <item name="EUR"></item>
  <item name="USD"></item>
  <item name="IKR"></item>
  <item name="CHF"></item>
  <item name="JPY"></item>
  <item name="DKK"></item>
  <item name="NOK"></item>
  <item name="SEK"></item>
  <item name="AUD"></item>
</combobox>

<checkbox
 name="My Checkbox 1"
 x="50"
 y="480"
 w="395"
 h="19"
 label="I hereby confirm that the above information to my knowledge is correct"
 labelPos="right"
 value="checked"
 required="true"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<browsebutton
 name="Upload File Button"
 x="400"
 y="530"
 w="100"
 h="20"
 label="Attach File"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></browsebutton>

<submitbutton
 name="Submit Button"
 x="400"
 y="555"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<textinput
 name="My Input Box 1"
 x="250"
 y="200"
 w="625"
 h="22"
 initvalue=""
 maxchars="60"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="My Input Box 2"
 x="250"
 y="225"
 w="626"
 h="22"
 initvalue=""
 maxchars="60"
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  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textinput
 name="My Input Box 3"
 x="250"
 y="250"
 w="627"
 h="22"
 initvalue=""
 maxchars="25"
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  fontname="Arial"
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 editable="true"
>
</textinput>

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 editable="true"
>
</textinput>

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  fontname="Arial"
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>
</textinput>

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 maxchars="25"
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>
</textinput>

<label
 name="My Text 1"
 x="375"
 y="25"
 w="166"
 h="22"
 text="Expense Request"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="19"
></label>

<label
 name="My Text 2"
 x="400"
 y="50"
 w="122"
 h="16"
 text="FJÖLBLENDIR EHF"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 4"
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 y="150"
 w="33"
 h="16"
 text="Year"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="26"
 y="125"
 w="43"
 h="16"
 text="Month"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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 x="26"
 y="100"
 w="33"
 h="16"
 text="Date"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="239"
 y="126"
 w="137"
 h="16"
 text="Location of purchase"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="239"
 y="151"
 w="174"
 h="16"
 text="Bought item will be sent to"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="24"
 y="200"
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 h="16"
 text="Item requested for purchase"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 9"
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 y="100"
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 h="16"
 text="Item purchase requested by"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 10"
 x="25"
 y="301"
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 h="16"
 text="Price of item"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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 h="16"
 text="Currency"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="24"
 y="225"
 w="123"
 h="16"
 text="Reason for request"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 13"
 x="24"
 y="250"
 w="90"
 h="16"
 text="Seller of item"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 14"
 x="24"
 y="407"
 w="230"
 h="16"
 text="Import duties will be added to price"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 15"
 x="24"
 y="432"
 w="213"
 h="16"
 text="If Yes please provide information"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 16"
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 y="350"
 w="246"
 h="16"
 text="Freight charges will be added to price"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 17"
 x="24"
 y="375"
 w="213"
 h="16"
 text="If Yes please provide information"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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 y="125"
 w="44"
 h="16"
 text="e-mail"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>
