<html>
	<meta charset="UTF-8">
	<head>
		<title>3DPrinterOS Client</title>
		<link rel="stylesheet" type="text/css" href="/static/styles/style.css">
    	<style type="text/css">
			!!!STYLE!!!
	   	</style>
	</head>
	<body bgcolor=#003333>
		<div id='host_version' align='right' style='align: right; color: #006666'>!!!URL!!! !!!VERSION!!!</div>
		<div class="block1" style="width: 40%; margin:-160px 0 0 -20%; margin-bottom: 100px">
			<div class="block2">
				3DPrinterOS Client
			</div>
			<center>
				<div class="block3">
					<p>
						Describe the problem with as much details as you can<br />
					</p>
					<form action="/send_problem_report" method="post">
						<input type="text" name="problem_summary" placeholder="Summary" class="text_field" style="width: 80%"><br />
						<textarea name="problem_description" placeholder="Description" class="text_area" style="width: 80%"></textarea><br />
                        <label><bold>Printer:</bold></label>
                        !!!PRINTER_SELECT!!!
                        <br />
						<input type="button" onClick="location.href='/'" value="Back" class="big_button">
					    <input type="submit" value="Submit" title="Reporting problem takes a few seconds" style="display: inline; background: #ff9900; margin-bottom: 0px;" class="big_button">
					</form>

				</div>
			</center>
		</div>
	</body>
</html>
