{txt_script_name}

{message}

{fields}
{txt_firstname}     {firstname}
{txt_lastname}     {lastname}
{txt_email}     {email}
{txt_subject}     {subject}
{txt_comment}     {comment}
     
{txt_firstname}    
{txt_lastname} *    
{txt_email} *    
{txt_subject} *    
{txt_comment}    
{txt_captcha_note}

{captcha_content}
        

* = {txt_mandatory_fields}