<table width="100%" border="0">

<tr>
<td>
<strong>Your name: <font color=red>*</font></strong><br />
[text* your-name]
</td>
</tr>

<tr>
<td>
<strong>Your e-mail address: <font color=red>*</font></strong><br />
If you are expecting a response, please enter a valid e-mail address.<br />
[email* your-email]
</td>
</tr>

<tr>
<td>
<strong>Subject: <font color=red>*</font></strong><br />
[text* your-subject]
</td>
</tr>

<tr>
<td>
<strong>Message: <font color=red>*</font></strong><br />
[textarea* your-message]
</td>
</tr>

<tr>
<td>
<strong>Please enter the code you see below: <font color=red>*</font></strong><br />
Security code: [captchac captcha-contact]<br />
[captchar captcha-contact]<br />
</td>
</tr>

<tr>
<td>
[submit "Send"]
</td>
</tr>

</table>