<h5>Your Email</h5>
<input type="text" class="input" size="30" name="from" />
<h5>Subject</h5>
<input type="text" class="input" size="30" name="subject"  value="%%subject%%" />
<h5>Message</h5>
<textarea name="message" class="textarea" rows="8" cols="18"></textarea>
<br />
{if captcha}
Submit the word you see below:<br /><br />
%%captcha%%
<br />
<input type="text" name="captcha" value="" size="20" maxlength="20" style="width:140px;" />
{/if}
<br />
<input class="button" type="submit" value=" SUBMIT " />
