<table width="100%">
    <tr>
        <td width="5"><img src="/images/spacer.gif" width="5" height="58" border="0"></td>
        <td background="/images/spacer.gif" class="ntitle" valign="top"> </td>
        <td width="5"><img src="/images/spacer.gif" width="5" height="58" border="0"></td>
    </tr>
    <tr>
        <td background="/images/spacer.gif"><img src="/images/spacer.gif" width="5" border="0"></td>
        <td class="news" valign="top">
<table width="100%" class="slink">
<tr>
    <td align="right" style="padding:4px;"> :</td>
    <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
  </tr>
  <tr>
     <td align="right" style="padding:4px;">E-Mail:</td>
     <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
  </tr>
  <tr><td align="right" style="padding:4px;">:</td><td><input maxlength="35" name="f1" class="f_input" type="text"></td></tr>
  <tr>
  <td align="right" valign="top" style="padding:4px;">:</td>
  <td>
  <textarea name="f3" style="width: 320px; height: 160px;" class="f_textarea"></textarea>
  </td></tr>
  <tr><td align="right" style="padding:4px;"> :</td><td><br/>$SECURITY_CODE$</td></tr>
  <tr><td align="right" style="padding:4px;"> :</td><td><input maxlength="45" name="f7" style="width: 104px;" class="f_input" type="text"></td></tr>

  <tr><td></td><td style="padding:4px;">
  <input name="send_btn" type="image" src="/images/send.png" style="cursor:hand">
  <br /><br />
  </td></tr></table>
</td>
        <td background="/images/spacer.gif"><img src="/images/spacer.gif" width="5" border="0"></td>
    </tr>
</table>