{include file="site_header.tpl}
{literal}

<script language="javascript" type="text/javascript">

var ptn_email=/^\s*\w+([\.\w\-]+)*\w@\w((\.\w)*\w+)*\.\w{2,}\s*$/;

function CheckField(field, pattern, name){

    if (field.value && pattern.test(field.value) == false)
    {
        alert("The field '"+name+"' is incorrect. Change it, please.");
	field.focus(); field.select();
        return false;
    }
    return true;
}

</script>
{/literal}

{if $form_submited != "yes"}
<form name="unsubscride" method="post">
<table width="100%" cellspacing="0" align="center">
<tr class="tdtext">
   <td><b>Please, indicate your e-mail to unsubscribe<br><br></b></td>
</tr>
<tr class="tdtext">
   <td>E-mail: <input type="text" name="email" maxlength="50" onChange="CheckField(form.email,ptn_email,'E-mail');"></td>
</tr>
<tr>
   <td><input type="submit" name="submit" value="Unsubscribe"></td>
</tr>
</table>
</form>
{else}
Dear {$data.first_name}&nbsp;{$data.last_name}, you were unsubscribed!
{/if}
{include file="site_footer.tpl}