<div class="form_item">
  <div class="form_element cf_textbox">
    <label class="cf_label" style="width: 150px;">Owner Name</label>
    <input class="cf_inputbox required" maxlength="150" size="30" title="" id="text_1" name="name" type="text" />
  
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textbox">
    <label class="cf_label" style="width: 150px;">Email</label>
    <input class="cf_label" maxlength="524288" size="null" title="null" id="null" name="null" type="text" />
  
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_textarea">
    <label class="cf_label" style="width: 150px;">Comments</label>
    <textarea class="cf_inputbox required" rows="3" id="text_2" title="" cols="30" name="comments"></textarea>
    
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_fileupload">
    <label class="cf_label" style="width: 150px;">Submit File</label>
    <input class="cf_fileinput cf_inputbox" title="" size="20" id="file_3" name="file" type="file" />
    <a class="tooltiplink" onclick="return false;"><img height="16" border="0" width="16" class="tooltipimg" alt="" src="components/com_chronocontact/css/images/tooltip.png"/></a>
				<div class="tooltipdiv">Submit File :: File extension must be all lowercase</div>
  </div>
  <div class="cfclear">&nbsp;</div>
</div>

<div class="form_item">
  <div class="form_element cf_button">
    <input value="Submit" name="button_5" type="submit" />
  </div>
  <div class="cfclear">&nbsp;</div>
</div>
