<h2 class="dpad heading">Обратная связь</h2>
<div class="brdform">
 <div class="baseform">
 <table class="tableform">

 <tr>
 <td class="label">
 Ваше имя:<span class="impot">*</span>
 </td>
 <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
 </tr>
 <tr>
 <td class="label">
 Ваш E-Mail:<span class="impot">*</span>
 </td>
 <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
 </tr>
 <tr>
 <td class="label">
 Тема:<span class="impot">*</span>
 </td>
 <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
 </tr>
 <tr>
 <td class="label" valign="top">
 Сообщение:
 </td>
 <td><textarea name="f3" style="width: 320px; height: 160px;" class="f_textarea"></textarea></td>
 </tr>
 <tr>
 <td class="label">
 Введите код:<span class="impot">*</span>
 </td>
 <td>
 <div>$SECURITY_CODE$</div>
 <div><input maxlength="45" name="f7" style="width: 104px;" class="f_input" type="text"></div>
 </td>
 </tr>

 </table>
 <div class="fieldsubmit">
 <button name="send_btn" class="fbutton" type="submit"><span>Отправить</span></button>
 </div> 
 </div>
</div>