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<table width=90% align="center" cellspacing="0" border="0" cellpadding="0"> |
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<form method="post" action="{$self}"> |
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<tr> |
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<td valign=center align=left>Za:</td> |
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<td valign=center align=left><select name=mailto> |
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{html_options values=$email_val output=$email_val} |
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</select> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left>{rinput name=fullname desc="Ime"}</td> |
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<td valign=center align=left> |
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{input size=22 name=fullname} |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left> |
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<div align="left">{rinput name=mailfrom desc="El. po¹ta"}</div> |
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</td> |
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<td valign=center align=left> |
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{input size=22 name=mailfrom type=email} |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left> |
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<div align="left">Dr¾ava</div> |
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</td> |
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<td valign=center align=left> |
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<select size=1 name=country> |
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<option value="" selected>-- Select Your Country --</option> |
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{section name=c loop=$countries} |
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<option value="{$c/countries.iso}">{$c/countries.name}</option> |
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{/section} |
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</select> |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left> |
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<div align="left">{rinput name=subject desc="Zadeva"}</div> |
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</td> |
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<td valign=center align=left> |
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{input size=22 name=subject} |
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</td> |
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</tr> |
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<tr> |
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<td valign=center align=left colspan=2> |
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<br>Sporoèilo:<br> |
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<textarea name=comment rows=5 cols=35></textarea> |
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<br><br>Poèrnjena polja moraju biti izpolnjena |
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<input type=submit value="Po¹lji" name="submit"> |
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<input type=reset value="Zbri¹i" name="reset"> |
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</td> |
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</tr> |
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</form> |
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</table> |