<div id="page">
<div id="content">
<div class="thebox">

<center><span >Contact fandung</span>
<form method="post" action="http://kontactr.com/user.php">
<input name="id" type="hidden" value="24234" />
<input name="referrer" type="hidden" value="" />
<table cellpadding="10px" border="0" >
<tr>
<td align="right">Your Name : </td>
<td align="left"><input name="sender_name" type="text" class="contactform" /></td>
</tr>
<tr>
<td align="right">Your Email : </td>
<td align="left"><input name="sender_email" type="text" class="contactform" /></td>
</tr>
<tr>
<td align="right">Subject : </td>
<td align="left"><input name="subject" type="text" class="contactform" /></td>
</tr>
<tr>
<td align="right" valign="top">Message : </td>
<td align="left"><textarea rows="10" cols="70" name="message" class="contactform"></textarea></td>
</tr>
<tr>
<td align="right" valign="middle">Image (case-sensitive): </td>
<td valign="middle" align="left">

<table cellpadding="5px" border="0" style=" ">
<tr>
<td valign="middle"><img src="http://kontactr.com/captcha.php" /></td>
<td valign="middle"><input type="text" name="captcha_code" size="5" maxlength="6" style="font-size: 15px; padding: 3px; font-family: Tahoma, Verdana; " /></td>
</tr>
</table>

</td>
</tr>
<tr>
<td colspan="2" align="center"><input name="send" type="submit" id="send" value="Send" class="contactform" style="font-size: 18px; width: 100px; letter-spacing: 5px;" /></td>
</tr>
</table>
</form>
</center>

</div>
</div>
</div>