[contact_name]: [contact_value]

{TEXT_FEEDBACK_FORM}

{IF '{IS_NAME}' == 1}

{FEEDBACK_ERROR_FIELD}
{ENDIF}





{IF '{IS_EMAIL}' == 1}

{FEEDBACK_ERROR_FIELD}
{ENDIF}



     

{IF '{IS_SUBJECT}' == 1}

{FEEDBACK_ERROR_FIELD}
{ENDIF}


{IF '{IS_MESSAGE}' == 1}

{FEEDBACK_ERROR_FIELD}
{ENDIF}


{IF '{IS_CAPTCHA}' == 1}

{FEEDBACK_ERROR_FIELD}
{ENDIF}

{ALT_CAPTCHA_CODE}