<div class="margs">
 <h1 class="titstat">Обратная связь</h1>
 <table class="forms">

 <tr class="fd">
 <td class="lbl">Ваше имя:</td>
 <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
 </tr>
 <tr class="fd">
 <td class="lbl">E-Mail:</td>
 <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
 </tr>

 <tr class="fd">
 <td class="lbl">Заголовок:</td>
 <td><input maxlength="35" name="f1" class="f_input" type="text"></td>
 </tr>
 <tr class="fd">
 <td class="lbl">Сообщение:</td>
 <td><textarea name="f3" style="width: 320px; height: 160px;" class="f_textarea"></textarea></td>
 </tr>

 <tr class="fd">
 <td class="lbl">Код безопасности:</td>
 <td><br />$SECURITY_CODE$</td>
 </tr>
 <tr class="fd">
 <td class="lbl">Введите код:</td>
 <td><input maxlength="45" name="f7" style="width: 104px;" class="f_input" type="text"></td>
 </tr>
 </table>
 <div class="fieldsubmit" align="center">
 <button name="send_btn" class="fbutton" type="submit"><span>Отправить</span></button>
 </div>
</div>