| 1 |
<table width=90% align="center" cellspacing="0" border="0" cellpadding="0"> |
| 2 |
<form method="post" action="{$self}"> |
| 3 |
<tr> |
| 4 |
<td valign=center align=left>Za:</td> |
| 5 |
<td valign=center align=left><select name=mailto> |
| 6 |
{html_options values=$email_val output=$email_val} |
| 7 |
</select> |
| 8 |
</td> |
| 9 |
</tr> |
| 10 |
<tr> |
| 11 |
<td valign=center align=left>{rinput name=fullname desc="Ime"}</td> |
| 12 |
<td valign=center align=left> |
| 13 |
{input size=22 name=fullname} |
| 14 |
</td> |
| 15 |
</tr> |
| 16 |
<tr> |
| 17 |
<td valign=center align=left> |
| 18 |
<div align="left">{rinput name=mailfrom desc="El. po¹ta"}</div> |
| 19 |
</td> |
| 20 |
<td valign=center align=left> |
| 21 |
{input size=22 name=mailfrom type=email} |
| 22 |
</td> |
| 23 |
</tr> |
| 24 |
<tr> |
| 25 |
<td valign=center align=left> |
| 26 |
<div align="left">Dr¾ava</div> |
| 27 |
</td> |
| 28 |
<td valign=center align=left> |
| 29 |
<select size=1 name=country> |
| 30 |
<option value="" selected>-- Izaberite dr¾avo --</option> |
| 31 |
{section name=c loop=$countries} |
| 32 |
<option value="{$c/countries.iso}">{$c/countries.name}</option> |
| 33 |
{/section} |
| 34 |
</select> |
| 35 |
</td> |
| 36 |
</tr> |
| 37 |
<tr> |
| 38 |
<td valign=center align=left> |
| 39 |
<div align="left">{rinput name=subject desc="Zadeva"}</div> |
| 40 |
</td> |
| 41 |
<td valign=center align=left> |
| 42 |
{input size=22 name=subject} |
| 43 |
</td> |
| 44 |
</tr> |
| 45 |
<tr> |
| 46 |
<td valign=center align=left colspan=2> |
| 47 |
<br>Sporoèilo:<br> |
| 48 |
<textarea name=comment rows=5 cols=35></textarea> |
| 49 |
<br><br>Poèrnjena polja moraju biti izpolnjena |
| 50 |
<input type=submit value="Po¹lji" name="submit"> |
| 51 |
<input type=reset value="Zbri¹i" name="reset"> |
| 52 |
</td> |
| 53 |
</tr> |
| 54 |
</form> |
| 55 |
</table> |
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