<form name="tt" method="POST">
    <!-- tabela principal do formulário -->
    <table border="0" cellspacing="1" cellpadding="0" align="center">						
        <tr>								
            <td class="label">Name:  <sup>{symbol_name}</sup></td>
            <td class="bg_cell_field">
                <input type="text" name="name" value="{name_value}" size="50" class="fields">							
            </td>
	</tr>
        <tr>								
            <td class="label">Email:  <sup>{symbol_email}</sup></td>
            <td class="bg_cell_field">
                <input type="text" name="email" value="{email_value}" size="50" class="fields">							
            </td>
	</tr>
        <tr>								
            <td class="label">Subject:</td>
            <td class="bg_cell_field">
                <input type="text" name="subject" value="{subject_value}" size="50" class="fields">							
            </td>
	</tr>
        <tr>								
            <td class="label">Message:</td>
            <td class="bg_cell_field">
                <textarea name="message" class="fields" rows="5" cols="70">{message_value}</textarea>
            </td>
	</tr>
	<tr><td colspan="2"> </td></tr>
		
	{block_note}
		
	<tr>
            <td align="right" colspan="2">
                <input type="submit" name="submit" value="Send" class="buttons">
		 
		<input type="reset" value="Reset" class="buttons">
            </td>
	</tr>		
    
    </table>
		
</form>
 
  |