<div class="modal-header">
  <h4 class="modal-title"><?php echo JAK_TITLE;?></h4>
    <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
</div>
<div class="modal-body">
<div class="padded-box">

<div id="contact-container">
<form id="cNotes" method="post" action="<?php echo $_SERVER['REQUEST_URI'];?>">

   <div class="form-group">
      <label for="note"><?php echo $jkl["g181"];?></label>
    <textarea name="note" id="note" rows="5" class="form-control"><?php echo $getnote;?></textarea>
  </div>
  
  <button type="submit" id="formsubmit" class="btn btn-primary btn-block"><?php echo $jkl["g38"];?></button>
  
  <input type="hidden" name="convid" value="<?php if (is_numeric($page1)) { echo $page1; } else { echo $page2;}?>">
</form>
</div>

</div>

</div>
  <div class="modal-footer">
    <button type="button" class="btn btn-default" data-dismiss="modal"><?php echo $jkl["g180"];?></button>
  </div>

<script type="text/javascript" src="<?php echo BASE_URL;?>js/notes.js"></script>
