<div class="comm_title">:</div>
<div><input class="comm_inp" type="text" name="name" value="$NAME$"></div>
<div class="comm_title">:</div>
<div><textarea class="comm_text" rows="8" name="message" id="message">$MESSAGE$</textarea></div>
<div><input type="submit" class="comm_sub" name="submit" value=""></div>