<!-start->
<link href="css/feedbackform.css" rel="stylesheet" type="text/css" />
<script language="javascript" src="{#CP#}js/feedback.js"></script>
<div  id="notice" class="noticediv"></div>
<form id="feedbacksmallform" method="post" action="" name="gform">
<table border="0" cellspacing="0" cellpadding="3" >
<!-start->

<!-input->
<tr> 
      <td align="right">{#title#}：</td>
      <td> 
        <input type="text" name="{#fieldname#}" value="{#fieldvalue#}" class="input" style="width:120px" /></td>
</tr>
<!-input->

<!-textarea->
    <tr> 
      <td align="right">{#title#}：</td>
      <td> 
        <textarea name="{#fieldname#}"  rows="3" class="textarea" style="width:120px" >{#fieldvalue#}</textarea>
      </td>
    </tr>

<!-textarea->

<!-list->
    <tr> 
      <td align="right">{#title#}：</td>
      <td> 
        <select name="{#fieldname#}" >
		{#list#}
        </select>
      </td>
    </tr>

<!-list->

<!-end->
	<tr> 
      <td align="right"></td>
      <td>
	  </td>
    </tr>
    <tr> 
      <td align="right">&nbsp;</td>
      <td height="30">
        <input type="submit" name="Submit" value="Submit" class="submit">
        <input type='hidden' name='act' value='formsend'>
        <input name='groupid' type='hidden' id="groupid" value='{#groupid#}'>
        <input name='checkimgcode' type='hidden' id="checkimgcode" value='no'>		
	  </td>
    </tr>
  </table>
</form>

<!-end->
