<div class="baseform">  
  <table class="tableform">  
   
  <tbody><tr>  
  <td class="label">  
  თქვენი სახელი:<span class="impot">*</span>  
  </td>  
  <td><input type="text" maxlength="35" name="name" class="f_input"></td>  
  </tr>  
  <tr>  
  <td class="label">  
  E-Mail:<span class="impot">*</span>  
  </td>  
  <td><input type="text" maxlength="35" name="email" class="f_input"></td>  
  </tr>  
   
  <tr>  
  <td class="label">  
  მიმღები:<span class="impot">*</span>  
  </td>  
  <td><select name="recip"><option selected="selected" value="1">admin (ადმინისტრატორი)</option>
</select></td>  
  </tr>  
  <tr>  
  <td class="label">  
  თემა:<span class="impot">*</span>  
  </td>  
  <td><input type="text" maxlength="45" name="subject" class="f_input"></td>  
  </tr>  
  <tr>  
  <td class="label" valign="top">  
  ტექსტი:  
  </td>  
  <td><textarea name="message" style="width: 380px; height: 160px" class="f_textarea"></textarea></td>  
  </tr>  
  <tr>  
  <td class="label">  
  მიუთითეთ კოდი:<span class="impot">*</span>  
  </td>  
  <td>  
  <div><span id="dle-captcha"><img src="/engine/modules/antibot.php" alt="Включите эту картинку для отображения кода безопасности" border="0"><br><a onclick="reload(); return false;" href="#">обновить, если не виден код</a></span></div>  
  <div><input type="text" maxlength="45" name="sec_code" style="width:115px" class="f_input"></div>  
  </td>  
  </tr>  
   
  </tbody></table>  
  <div class="fieldsubmit">  
  <button name="send_btn" class="fbutton" type="submit"><span>გაგზავნა</span></button>  
  </div>  
</div>