<h2 class="dpad heading">تماس با مدیریت</h2>
<div class="brdform">
	<div class="baseform">
		<table class="tableform">
		[not-logged]
			<tr>
				<td class="label">
					نام:<span class="impot">*</span>
				</td>
				<td><input type="text" maxlength="35" name="name" class="f_input" /></td>
			</tr>
			<tr>
				<td class="label">
					ایمیل:<span class="impot">*</span>
				</td>
				<td><input type="text" maxlength="35" name="email" class="f_input" dir="ltr" /></td>
			</tr>
		[/not-logged]
			<tr>
				<td class="label">
					گیرنده:<span class="impot">*</span>
				</td>
				<td>{recipient}</td>
			</tr>
			<tr>
				<td class="label">
					موضوع:<span class="impot">*</span>
				</td>
				<td><input type="text" maxlength="45" name="subject" class="f_input" /></td>
			</tr>
			<tr>
				<td class="label" valign="top">
					متن پیام:
				</td>
				<td><textarea name="message" style="width: 380px; height: 160px" class="f_textarea" /></textarea></td>
			</tr>
			[sec_code]<tr>
				<td class="label">
					کد امنیتی:<span class="impot">*</span>
				</td>
				<td>
					<div>{code}</div>
					<div><input type="text" maxlength="45" name="sec_code" style="width:115px" class="f_input" dir="ltr" /></div>
				</td>
			</tr>
			[/sec_code]
			[recaptcha]
			<tr>
				<td class="label">
					دو متن در تصویر را وارد کنید: <span class="impot">*</span>
				</td>
				<td>
					<div>{recaptcha}</div>
				</td>
			</tr>
			[/recaptcha]
			[question]
				<tr>
					<td class="label">
						سوال امنیتی:
					</td>
					<td>
						<div>{question}</div>
					</td>
				</tr>
				<tr>
					<td class="label">
						پاسخ:<span class="impot">*</span>
					</td>
					<td>
						<div><input type="text" name="question_answer" id="question_answer" class="f_input" /></div>
					</td>
				</tr>
			[/question]
		</table>
		<div class="fieldsubmit">
			<button name="send_btn" class="fbutton" type="submit"><span>ارسال</span></button>
		</div>
	</div>
</div>