clipbucket/upload/styles/cbv2new/layout/contact.html

<div style="margin:auto; width:98%"><h2>{lang code="contact_us"}</h2>

<p>{lang code="contact_us_msg"}</p>
<form id="form1" name="form1" method="post" action="" class="contact_form">
  <label for="name">{lang code="name"}</label>
  <input type="text" name="name" id="name" />
  <div style="height:10px;"></div>
  <label for="email">{lang code="email"|capitalize}</label>
  <input type="text" name="email" id="email" />
  <div style="height:10px;"></div>
  <label for="reason">{lang code="pelase_enter_reason"}</label>
  <input type="text" name="reason" id="reason" />
  <div style="height:10px;"></div>
  <label for="message">{lang code="message"}</label>
  <textarea name="message" id="message" cols="45" rows="5"></textarea>
  <div style="height:10px;"></div>
  <label for="button">&nbsp;</label>
  <input type="submit" name="contact" id="button" value="Contact Us" class="button" />
</form>
<p>&nbsp;</p>
</div>