<h2>{$tl.title.t16}</h2>
		<?php if ($errorsr) { ?>
		<div class="status-failure">{$errorsr.e}{$errorsr.e1}{$errorsr.e2}{$errorsr.e3}</div>
		<div class="clear"></div>
		<?php } ?>
		<form method="post" class="oform" action="<?php echo $_SERVER['REQUEST_URI']; ?>">
		<p>
			<label for="name" title="{$tl.cmsg.c}"><input type="text" title="1" name="name" value="<?php echo strip_tags($_REQUEST["subject"]); ?>" />{$tl.contact.c1}</label>
			<label class="required" for="email" title="{$tl.cmsg.c1}"><input type="text" title="3" name="email" value="<?php echo $_REQUEST["email"]; ?>" />{$tl.contact.c2}</label>
			<label class="required" for="username" title="{$tl.cmsg.c15}"><input type="text" title="username" name="username" value="<?php echo $_REQUEST["username"]; ?>" />{$tl.contact.c9}</label>
			<label class="required" for="1" title="{$tl.cmsg.c16}"><input type="password" title="1" name="password" />{$tl.contact.c10}</label>
			<?php if ($JAK_HVM == 1) { ?>
			<label>{$tl.contact.c12}<p style="text-align:right;margin-top:-5px;"><?php if (isset($JAK_HVM_ALL) && is_array($JAK_HVM_ALL)) foreach($JAK_HVM_ALL as $human) { ?><strong>{$human.question}</strong><?php } ?></p></label>
			<label class="required" for="human" title="{$tl.cmsg.c18}"><input type="text" name="human{$spfield}" title="human" />{$tl.contact.c13}</label>
			<?php } ?>
			<?php if ($JAK_HVM == 2) { ?>
			<label><img class="jakCaptcha" src="{$BASE_URL}include/recaptcha/jak.human.php" title="{$tl.cmsg.c20}" alt="human" /></label>
			<label class="required" for="human" title="{$tl.cmsg.c18}"><input type="text" name="human" title="human" />{$tl.contact.c15}</label>
			<?php } ?>
			<?php if ($JAK_HVM == 3) { ?>
			<label>{$tl.contact.c12}<p style="text-align:right;margin-top:-5px;">{$JAK_RECAPTCHA}</p></label>
			<?php } ?>
			<label for="formsubmit" class="nocontent"><strong>{$tl.contact.n}</strong> {$tl.contact.n1} <img src="{$BASE_URL}img/required_small.gif" title="required" width="12" height="12" /> {$tl.contact.n2}</label>
			</p>
			<div class="editorsave">
			<input type="submit" name="regNewAccount" id="formsubmit" class="editorbutton" value="{$tl.contact.s}" />
			</div>
			<?php if ($JAK_HVM == 1) { ?>
			<input type="hidden" name="humanid" value="<?php if (isset($JAK_HVM_ALL) && is_array($JAK_HVM_ALL)) foreach($JAK_HVM_ALL as $human) { ?>{$human.id}<?php } ?>" />
			<input type="hidden" name="humanhidden" value="{$spfield}" />
			<?php } ?>
		</form>
		<?php if ($JAK_HVM == 2) { ?>
		<!-- JavaScript for reCaptcha -->
		
		<script type="text/javascript">
				$(document).ready(function()
				{
					jQuery('.jakCaptcha').captchaRefresh({src: '{$BASE_URL}include/recaptcha/jak.human.php'});			
				});
		</script>
		
		<?php } ?>