{txt key=TEXT_CONTACT_INTRO}
{form type=form name=login action='dynamic' link_params=getParams method=post conn=SSL} {form type=hidden name=action value=send} {form id=email_address type=text name=email_address params='maxlength="40"' value=$email_address} {form id=firstname type=text name=firstname params='maxlength="40"' value=$firstname} {form id=lastname type=text name=lastname params='maxlength="40"' value=$lastname} {form id=company type=text name=company params='maxlength="40"' value=$company} {form id=telefone type=text name=telefone params='maxlength="32"' value=$telefone} {form id=mobile_phone type=text name=mobile_phone params='maxlength="32"' value=$mobile_phone} {form id=order_id type=text name=order_id params='maxlength="40"' value=$order_id} {form id=customer_message type=textarea name=customer_message params='cols="50" rows="15"' value=$customer_message} {if $logged_in eq 'false'} {if $recaptcha eq 'true'} {$captcha_link} {else}
{css_button text=$smarty.const.BUTTON_SUBMIT type='form'}
{form type=formend}{txt key=TEXT_MUST}