<form method="POST" action="--WEBBOT-SELF--">
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				<p align="left" style="margin-top: 10px; margin-bottom: 5px">
				Jméno - Name
				<input type="text" name="T1" size="30"></p>
				<p align="left" style="margin-top: 5px; margin-bottom: 5px">
				E-mail
				<input type="text" name="T2" size="30"></p>
				<p align="left" style="margin-top: 5px; margin-bottom: 5px">
				Web-site
				<input type="text" name="T3" size="30"></p>
				<div style="float: left; width: 1px; height: 40px; position: relative">
					<p style="margin-top: 5px; margin-bottom: 0" align="left">  
				</div>
				<p style="margin-top: 5px; margin-bottom: 0">Zpráva -Message
				<textarea rows="4" name="S2" cols="30" style="text-align: center" align="right"></textarea></p>
				<div style="float: left; width: 1px; height: 40px; position: relative">
					<p style="margin-top: 5px; margin-bottom: 0" align="left"> </div>
				<p style="margin-top: 5px; margin-bottom: 0" align="left">
				<input type="submit" value="Odeslat - Send" name="B1">
				</p>
			</form>