This is the callback panel which had the success message and form
<div class="panelWrapper">
<div class="panelTitle">call me back</div>
<div class="panelContent">
<div class="panelContent">
<?php if(isset($_SESSION["waue_template_1_Status"]) && $_SESSION["waue_template_1_Status"] == "Success") { ?>
<br>
<h2>Thank You!</h2>
<p>Your request to be called back has been received and we will be in touch with you very soon</p>
<p>Thank you</p>
<?php } else { ?>
<div id="gahelliarcontents_GAHelliar_Default_ProgressWrapper">
<form class="GAHelliar_Default" id="gahelliarcontents_GAHelliar_Default" name="gahelliarcontents_GAHelliar_Default" method="post" action="<?php echo $_SERVER["PHP_SELF"]; ?><?php echo (isset($_SERVER["QUERY_STRING"]) && $_SERVER["QUERY_STRING"] != "")?"?".$_SERVER["QUERY_STRING"]:""; ?>">
<ul class="GAHelliar_Default">
<li>
<fieldset class="GAHelliar_Default" id="Contact_me" style="border:none; margin-left: -20px;">
<ul class="formList">
<li class="formItem">
<div class="formGroup">
<div class="lineGroup">
<div class="fullColumnGroup">
<input placeholder="Name" id="Full_Name" name="Full_Name" type="text" value="<?php echo((isset($_GET["invalid"])?ValidatedField("template","Full_Name"):"")); ?>" class="formTextfield_Medium" tabindex="1" title="Please enter your name" required>
<?php
if (ValidatedField('template','template')) {
if ((strpos((",".ValidatedField("template","template").","), "," . "1" . ",") !== false || "1" == "")) {
if (!(false)) {
?>
<span class="serverInvalidState" id="Full_Name_ServerError">Please enter your name</span>
<?php //WAFV_Conditional template.php template(1:)
}
}
}?>
<input placeholder="Telephone" id="Telephone" name="Telephone" type="text" value="<?php echo((isset($_GET["invalid"])?ValidatedField("template","Telephone"):"")); ?>" class="formTextfield_Medium" tabindex="2" title="Please enter your telephone" required>
<?php
if (ValidatedField('template','template')) {
if ((strpos((",".ValidatedField("template","template").","), "," . "2" . ",") !== false || "2" == "")) {
if (!(false)) {
?>
<span class="serverInvalidState" id="Telephone_ServerError">Please enter your telephone</span>
<?php //WAFV_Conditional template.php template(2:)
}
}
}?>
<input placeholder="Email" id="Email_Address" name="Email_Address" type="text" value="<?php echo((isset($_GET["invalid"])?ValidatedField("template","Email_Address"):"")); ?>" class="formTextfield_Medium" tabindex="3" pattern="[^@]+@[^@]+\.[a-zA-Z]{2,6}" title="Please enter your email" required>
<?php
if (ValidatedField('template','template')) {
if ((strpos((",".ValidatedField("template","template").","), "," . "3" . ",") !== false || "3" == "")) {
if (!(false)) {
?>
<span class="serverInvalidState" id="Email_Address_ServerError">Please enter your email</span>
<?php //WAFV_Conditional template.php template(3:)
}
}
}?>
</div>
</div>
</div>
</li>
<li class="formItem"> <span class="buttonFieldGroup" >
<input class="formButton" name="Callback_Request" type="submit" id="Callback_Request" value="Call Me" onClick="clearAllServerErrors('gahelliarcontents_GAHelliar_Default')" tabindex="4" style="margin: 0;">
</span> </li>
</ul>
</fieldset>
</li>
</ul>
</form>
</div>
<div id="gahelliarcontents_GAHelliar_Default_ProgressMessageWrapper" class="blockUIOverlay" style="display:none;">
<script type="text/javascript">
WADFP_SetProgressToForm('gahelliarcontents_GAHelliar_Default', 'gahelliarcontents_GAHelliar_Default_ProgressMessageWrapper', WADFP_Theme_Options['BigSpin:Slate']);
</script>
<div id="gahelliarcontents_GAHelliar_Default_ProgressMessage" >
<p style="margin:10px; padding:5px;" ><img src="webassist/progress_bar/images/slate-largespin.gif" alt="" title="" style="vertical-align:middle;" /> Please wait</p>
</div>
</div>
<?php } ?>
<?php //var_dump($_SESSION); ?>
<?php if(isset($_SESSION['waue_template_1_Status'])) unset($_SESSION['waue_template_1_Status']); ?>
</div>
</div>
</div>