application/modules/feedback/templates/feedback.tpl
<div class="frame-crumbs">
{widget('path')}
</div>
<div class="frame-inside page-text">
<div class="container">
<div class="text">
<div class="container">
<div class="content center">
<div id="titleExt"><h1><span class="ext">{lang('Contacts', 'feedback')}</span></h1></div>
<div id="contact">
<div class="left">
{if $form_errors}
<div class="errors">
{$form_errors}
</div>
{/if}
{if $message_sent}
<div style="color: green;">
{lang('Your message has been sent.', 'feedback')}
</div>
{/if}
<form action="{site_url('feedback')}" method="post">
<div class="textbox" style="margin-top: 15px;">
<label for="name"><b>{lang('Your name', 'feedback')}</b></label>
<input type="text" id="name" name="name" class="text" value="{if $_POST.name}{$_POST.name}{/if}"
placeholder="{lang('Your name', 'feedback')}"/>
</div>
<div class="textbox" style="margin-top: 15px;">
<label for="email"><b>{lang('Email')}</b></label>
<input type="text" id="email" name="email" class="text" value="{if $_POST.email}{$_POST.email}{/if}" placeholder="{lang('Email')}"/>
</div>
<div class="textbox" style="margin-top: 15px;">
<label for="theme"><b>{lang('Subject', 'feedback')}</b></label>
<input type="text" id="theme" name="theme" class="text" value="{if $_POST.theme}{$_POST.theme}{/if}" placeholder="{lang('Subject', 'feedback')}"/>
</div>
<div class="clearfix"></div>
<div class="textbox" style="margin-top: 15px;">
<label for="message"><b>{lang('Message', 'feedback')}</b></label>
<textarea cols="45" rows="10" name="message" id="message" placeholder="{lang('Message text', 'feedback')}">{if $_POST.message}{$_POST.message}{/if}</textarea>
</div>
<div class="comment_form_info">
{if $captcha_type =='captcha'}
<div class="textbox captcha" style="margin-top: 15px;">
<label for="captcha"><b>{lang('Protection code', 'feedback')}111</b></label>
<br>
{$cap_image}
<br><br>
<input type="text" name="captcha" style="width: 150px" id="recaptcha_response_field" value="" placeholder="{lang('Enter protection code', 'feedback')}"/>
</div>
{/if}
</div>
<div style="margin-top: 15px; margin-left: -5px; float: left;">
<div class="btn s-p btn-form m-b_15">
<input type="submit" id="submit" class="submit" value="{lang('Send', 'feedback')}"/>
</div>
</div>
</div>
{form_csrf()}
</form>
</div>
<div class="right">
<div id="detail">
{//widget('contacts')}
</div>
</div>
</div>
</div>
</div>
</div>
</div>