<!-- TITLE: Recommend Us -->

<p class="pagetitle">##title##</p>

<table width="100%" border="0" cellpadding="5">
  <tr> 
    <td colspan="3" align="center">
      
      <center>
<span class=err>##err_msg##</span>
      </center>
          
    <form method=post>

    <table cellpadding="2" cellspacing="1" border=0 bgcolor="silver">
    <tr bgcolor="#ffffff">
      <td>&nbsp;</td>
      <td>Name
      </td>
      <td>Email Address
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td>You</td>
      <td>
        <input size=20 name="name" value="##name##">
      </td>
      <td align="right">
        <input size=20 name="email" value="##email##">
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td>Friend 1</td>
      <td>
        <input size=20 name="f_name1" value="##f_name1##">
      </td>
      <td align="right">
        <input size=20 name="f_email1" value="##f_email1##">
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td>Friend 2</td>
      <td>
        <input size=20 name="f_name2" value="##f_name2##">
      </td>
      <td align="right">
        <input size=20 name="f_email2" value="##f_email2##">
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td>Friend 3</td>
      <td>
        <input size=20 name="f_name3" value="##f_name3##">
      </td>
      <td align="right">
        <input size=20 name="f_email3" value="##f_email3##">
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td>Friend 4</td>
      <td>
        <input size=20 name="f_name4" value="##f_name4##">
      </td>
      <td align="right">
        <input size=20 name="f_email4" value="##f_email4##">
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td>Friend 5</td>
      <td>
        <input size=20 name="f_name5" value="##f_name5##">
      </td>
      <td align="right">
        <input size=20 name="f_email5" value="##f_email5##">
      </td>
    </tr>
    <tr bgcolor="#ffffff">
      <td colspan="3" align="center">
        Message:<br />
        <textarea name="msg" cols="40" rows="3">##msg##</textarea>
<br />
<br />
      </td>
    </tr>

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

<tr bgcolor="#ffffff">
<td colspan=3 class=txt8>
Security Measure: <br>
Type characters as shown in the box. Characters are not case sensitive 
</td>
</tr>

<tr bgcolor="#ffffff">
<td><b>Verification Code:</td>
<td colspan=2>

<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 bgcolor="#ffffff">
      <td colspan=3 align="center" height=40>

<input type=submit value="Send Email" class="button"></td>

    </tr>
    </table>
    <input type="hidden" name="return" value="##return##">
    </form>
     
    </td>
  </tr>
</table>


<p>&nbsp;
<p>&nbsp;
<p>&nbsp;