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<div id="form_wrapper" class="form_wrapper">
<h1>{@website_language[lostpass]}}</h1>
<form class="login active" method="post" action="lostpassword.php?page=send">
<p>{@website_language[howtolostpass]}}</p>
<div>
<label>{@website_language[username]}}:</label>
<input type="text" name="logus" maxlength="40" />
<span class="error">This is an error</span>
</div>
<div>
<label>{@website_language[yemail]}}:</label>
<input type="text" value="" name="mailsus" maxlength="50" />
<span class="error">This is an error</span>
</div>
<div>
<label>{@website_language[captcha]}}<img id="captcha" src="../include/plugins/securimage/securimage_show.php" alt="CAPTCHA Image" /><br /><a href="#" onclick="document.getElementById('captcha').src = '../include/plugins/securimage/securimage_show.php?' + Math.random(); return false">[ {@website_language[differentImage]}} ]</a></label>
<input name="captcha_code" type="text" maxlength="6" size="10" />
<span class="error">This is an error</span>
</div>
<div class="bottom">
<button class="btn btn-primary" type="submit">{@website_language[send]}}</button>
<div class="clear"></div>
</div>
</form>
</div>
<div style="clear: left; overflow: hidden; width: 100%; "></div>