<table dir="rtl" width="585" border="0" align="center" cellpadding="0" cellspacing="0">
  <tr>
    <td width="18" height="15" background="images/content_right.jpg"><img src="style/{masterstyle}/images/content_head_right.jpg" width="18" height="15" /></td>
    <td width="551" height="15" background="style/{masterstyle}/images/content_head.jpg"></td>
    <td width="16" height="15" background="images/content_left.jpg"><img src="style/{masterstyle}/images/content_head_left.jpg" width="16" height="15" /></td>
  </tr>
  <tr>
    <td width="18" height="41" background="style/{masterstyle}/images/content_right.jpg"></td>
    <td align="center" bgcolor="#F9F9F9">  <div dir="{LANGDIR}">    <form id="form1" name="form1" method="post" action="index.php?action=sendreport">
	  <table style="padding:10px;" width="100%" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td width="21%" height="40" align="{ALIGN}">{lang.email} : </td>
          <td width="79%" height="40" align="{ALIGN}"><input style="padding-{ALIGN}:20px;background:{ALIGN} url('style/pink/images/email.png') no-repeat;" name="email" type="text" id="email" /></td>
        </tr>
        <tr>
          <td width="21%" height="40" align="{ALIGN}">{lang.filename} : </td>
          <td width="79%" height="40" align="{ALIGN}"><input style="padding-{ALIGN}:20px;background:{ALIGN} url('style/pink/images/file.png') no-repeat;" name="file" type="text" id="file" /></td>
        </tr>
        <tr>
          <td height="40" align="{ALIGN}">{lang.whyreport} : </td>
          <td height="40" align="{ALIGN}"><input style="padding-{ALIGN}:20px;background:{ALIGN} url('style/pink/images/comment.png') no-repeat;" name="why" type="text" id="why" size="44" /></td>
        </tr>
        <IF NAME="{op.captchacont} eq 1"><tr>
          <td height="40" align="{ALIGN}">{lang.captcha} : </td>
          <td height="40" align="{ALIGN}"><input name="verify" type="text" id="verify" />
              <img src="include/verify.php" /></td>
        </tr></IF>
        <tr>
          <td width="21%" height="40" align="{ALIGN}"><input  type="submit" name="Submit" value="{lang.send}" /></td>
          <td width="79%" height="40" align="{ALIGN}"> </td>
        </tr>
  </table>
      
      </form></div></td>
    <td width="16" background="style/{masterstyle}/images/content_left.jpg"></td>
  </tr>
  <tr>
    <td width="18" height="19" background="images/content_right.jpg"><img src="style/{masterstyle}/images/content_down_right.jpg" width="18" height="19" /></td>
    <td height="19" background="style/{masterstyle}/images/content_down.jpg"></td>
    <td width="16" height="19" background="images/content_left.jpg"><img src="style/{masterstyle}/images/content_down_left.jpg" width="16" height="19" /></td>
  </tr>
</table>