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{$from} |
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|
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<table width=90% align="center" cellspacing="0" border="0" cellpadding="0"> |
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<form> |
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<tr> |
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<td valign=center align=left>To:</td> |
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<td valign=center align=left><select name=mailto> |
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{html_options values=$email_val output=$email_val} |
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</select> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left>Full Name</td> |
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<td valign=center align=left> |
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<input size=22 name=fullname> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left> |
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<div align="left">Email</div> |
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</td> |
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<td valign=center align=left> |
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<input size=22 name=email> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left> |
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<div align="left">Country</div> |
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</td> |
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<td valign=center align=left> |
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<select size=1 name=country> |
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<option value="" selected>-- Select Your Country --</option> |
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{section name=c loop=$countries} |
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<option value="{$c/countries.iso}">{$c/countries.name}</option> |
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{/section} |
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</select> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left> |
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<div align="left">Subject</div> |
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</td> |
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<td valign=center align=left> |
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<input size=22 name=subject> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left colspan=2> |
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<p>Please leave your comments below:</p> |
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<p> |
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<textarea name=comment rows=5 cols=35></textarea> |
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</p> |
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<input type=submit value=Submit name="submit"> |
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|
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<input type=reset value=Reset name="reset"></form> |
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</td> |
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</tr> |
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</table> |
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