[Sommaire] [Imprimer]

   1  <center>
   2  <form method="POST" action="{form_action}">
   3  <table>
   4      <tr class="row_on">
   5          <td align=right>{lang_recipient}:</td>
   6          <td><input type="text" name="recipient" value="{val_recipient}" style="width: 200px"></td>
   7      </tr>
   8      <tr class="row_off">
   9          <td align=right>{lang_subject}:</td>
  10          <td><input type="text" name="subject" value="{val_subject}" style="width: 200px"></td>
  11      </tr>
  12      <tr class="row_on">
  13          <td align=right>{lang_reply}:</td>
  14          <td><input type="text" name="reply" value="{val_reply}" style="width: 200px"></td>
  15      </tr>
  16      <tr class="row_off">
  17          <td valign=top align=right>{lang_message}:</td>
  18          <td><textarea name="txt_message" value="{val_message}" style="width:200px; height:100px"></textarea></td>
  19      </tr>
  20      <tr>
  21          <td colspan=2 align=center><input type="submit" name="send" value="{lang_send}"></td>
  22      </tr>
  23  </table>
  24  </form>
  25  </center>