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<div class="container">
<div class="row">
<div class="col-md-9 col-md-offset-3">
<div class="well well-sm">
<form class="form-horizontal" method="post" action="index.php?action=go">
<fieldset>
<legend class="text-center">{@website_language[contact]}}</legend>
{@usernameAndMail}}
<div class="form-group">
<div class="col-md-9">
<label class="col-md-9 control-label" for="body">{@website_language[message]}}:</label>
<textarea name="body" id="body" class="form-control"></textarea>
</div>
</div>
<div class="form-group">
<div class="col-md-6">
<label for="captcha_code">{@website_language[captcha]}}:</label>
<img id="captcha" src="../include/plugins/securimage/securimage_show.php" alt="CAPTCHA Image" />
<br />
<input type="text" name="captcha_code" id="captcha_code" class="form-control" size="10" maxlength="6">
<a href="#" onclick="document.getElementById('captcha').src = '../include/plugins/securimage/securimage_show.php?' + Math.random(); return false">[ {@website_language[differentImage]}} ]</a>
</div>
</div>
<div class="form-group">
<div class="col-md-3">
<button name="go" type="submit" class="btn btn-primary">{@website_language[send]}}</button>
</div>
</div>
</fieldset>
</form>
</div>
</div>
</div>
</div>
<div>
<p><a href="../" class="btn btn-primary homepage">{@website_language[home]}}</a></p>
</div>