<!-- TITLE: Send message -->

<!-- TPL_INSERT : b_Form_to_Email [extra_fields=name/phone] -->
<!-- TPL_CELL : def -->

<table align="center" border=0>
<tr>
<td>

<form method=POST ##enctype##>

<p class="pagetitle">Send message</p>


<center>
<span class=err>##err_msg##</span>
</center>

<input type=hidden name=req_fields value="name"> <!-- name/phone -->

<input type=hidden name=email_send value="send_msg">
<input type=hidden name=email_confirm value="send_confirm">
<input type=hidden name=email_admin value="send_msg_to_adm">
<input type=hidden name=tpl_ok value="send_msg_ok.htm">

<table border=0>

<tr>
<td><b>To:</td>
<td><b>##to##</b></td>
</tr>

<tr>
<td><b>Your E-mail:</td>
<td>

<!-- IF ##EN_REG_REPLY## -->
##sender##
<!-- ELSE -->
<input type=text name=sender value="##sender##" size=40>
<!-- ENDIF -->

</td>
</tr>
<tr>
<td><b>Name:</td>
<td><input type=text name=name value="##name##" size=40></td>
</tr>
<tr>
<td>Phone:</td>
<td><input type=text name=phone value="##phone##" size=40></td>
</tr>
<tr>
<td>Comments:</td>
<td><textarea rows="8" name="msg" cols=40>##msg##</textarea></td>
</tr>

<!-- IF ##en_attach## -->
<tr>
<td>Attachment:</td>
<td><input type="file" name="attachment"></td>
</tr>
<!-- ENDIF -->

<!-- IF ##EN_IMG_VER## -->

<tr>
<td colspan=2 class=txt8>
Security Measure: <br>
Type characters as shown in the box. Characters are not case sensitive 
</td>
</tr>

<tr>
<td><b>Verification Code:</td>
<td>

<table border=0>
<tr>
<td>
<input name="img_text" size=20>
</td>
<td>
<img src="index.php?page=image_verify" id="img_ver">
</td>
<td>
<a href="#" OnClick="reloadImage('img_ver');return false;" class=txt8>Refresh</a>
</td>
</tr>
</table>

</td>
</tr>
<!-- ENDIF -->


<tr>
<td></td>
<td><input type="submit" value="Send" class=button name=go></td>
</tr>

</table>

</form>

</td>
</tr>
</table>

<!-- /TPL_CELL : def -->
<!-- /TPL_INSERT : b_Form_to_Email -->