<table border="0" width="100%" id="table1" cellspacing="1" cellpadding="2">
<tr><td width="35%" style="color:#737474;">Имя отправителя <font color="red">*</font>:</td><td><input type="text" name="f4" size="30" style="width:95%;outline:none;color:#8c8c8c;border:1px solid #ececec;" maxlength="70"></td></tr>
<tr><td style="color:#737474;">E-mail отправителя <font color="red">*</font>:</td><td><input type="text" name="f1" size="30" style="width:95%;outline:none;color:#8c8c8c;border:1px solid #ececec;" maxlength="70"></td></tr>
<tr><td style="color:#737474;">Тема письма:</td><td><input type="text" name="f2" size="30" style="width:95%;outline:none;color:#8c8c8c;border:1px solid #ececec;" maxlength="70"></td></tr>
<tr><td valign="top" style="color:#737474;">Текст сообщения <font color="red">*</font>:</td><td><textarea rows="7" name="f3" cols="30" style="width:95%;outline:none;color:#8c8c8c;border:1px solid #ececec;"></textarea></td></tr>
<tr><td style="color:#737474;">Код безопасности <font color="red">*</font>:</td><td><input type="text" name="f7" size="6" maxlength="5" style="text-align:center;color:#8c8c8c;outline:none;height:35px;width:100px;border:1px solid #ececec;"> $SECURITY_CODE$</td></tr>
<tr><td colspan="2" align="center"><br /><input type="submit" value="Отправить сообщение"></td></tr>
</table>