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<script src="http://bmphajnowka.prv.pl/molitwoslow/news/jsfunc.js" type="text/javascript"></script>
<form action="?fn_mode=send&amp;fn_action=send&amp;fn_id=66" method="post" id="newsposting">
<table width="100%" style="border-collapse:collapse; border: 1px solid #DCDCDC">
	<tr>
		<th colspan="2">:: Wyślij "POLEZNO MOLITSIA" do przyjaciela ::</th>
	</tr>
	<tr>
		<th colspan="2">Twoje dane:</th>
	</tr>
	<tr>
		<td style="width:40%">Twoje imię</td>
		<td style="width:60%"><input type="text" size="30" name="sender_name" /></td>
	</tr>
	<tr>
		<td>Twój e-mail</td>
		<td><input type="text" size="30" name="sender_email" /></td>
	</tr>
	<tr>
		<td colspan="2" align="center">
			:: Wiadomość ::<br />
			<textarea name="message" cols="60" rows="10"></textarea>
		</td>
	</tr>
	<tr>
		<th colspan="2">Dane znajomego</th>
	</tr>
	<tr>
		<td>Imię znajomego</td>
		<td><input type="text" size="30" name="friend_name" /></td>
	</tr>
	<tr>
		<td>E-mail znajomego</td>
		<td><input type="text" size="30" name="friend_email" /></td>
	</tr>
	<tr>
		<th colspan="2"><input type="submit" value="Submit">&nbsp;<input type="reset" value="Reset"></th>
	</tr>
</table>
</form>
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