<div style="background:#fff;float:left;margin-bottom:15px;border:1px solid #c2c2c2;border-top:0 none;">
    <h2 class="title"><span><i class="fa fa-envelope-o">&nbsp;</i>Обратная связь</span></h2>
    <div class="feedback-form">
	    [not-logged]
    	<p>
		    <label><i class="fa fa-user">&nbsp;</i> Ваше имя*</label>
		    <input type="text" maxlength="35" name="name" class="input" />
	    </p>
	    <p>
		    <label><i class="fa fa-envelope">&nbsp;</i> Ваш E-mail*</label>
		    <input type="text" maxlength="35" name="email" class="input" />
	    </p>
	    [/not-logged]
	    <p>
		    <label><i class="fa fa-user">&nbsp;</i> Кому*</label>
		    {recipient}
	    </p>
	    <p>
		    <label><i class="fa fa-envelope">&nbsp;</i> Тема*</label>
		    <input type="text" maxlength="45" name="subject" class="input" />
	    </p>
	    <p>
		    <label><i class="fa fa-align-center">&nbsp;</i> Сообщение</label>
		    <textarea name="message" class="textarea" /></textarea>
	    </p>
	    [sec_code]
	    <p class="check-code">
		    <label><i class="fa fa-key">&nbsp;</i> Проверочный код</label>
		    <input type="text" maxlength="45" name="sec_code" class="input" />{code}
	    </p>
	    [/sec_code]
	    [recaptcha]
	    <div style="margin-bottom:15px;">{recaptcha}</div>
	    [/recaptcha]
	    [question]
	    <p>
	        <label><i class="fa fa-question">&nbsp;</i> Вопрос: {question}</label>
	    </p>
	    <p>
	        <label><i class="fa fa-pencil">&nbsp;</i> Ответ*:</label>
	        <input type="text" name="question_answer" id="question_answer" class="input" />
	    </p>
	    [/question]
    	<p>
	        <button name="send_btn" class="btn" type="submit"><span>Отправить</span></button>
    	</p>
	</div>
</div>
<style>
	#dle-question {float:none;width:600px;}
</style>
