<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>

<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>???? ?? ??</title>
<style type="text/css">
html , body {
	direction:rtl;
	font-family:tahoma;
	font-size:11px;
	background:#;
	color:#;
	}
.imp {
	color:#FF0000;
	}
.fnt{
	font-family:tahoma;
	color:#333333;
	font-size:10px;
	}
.captcha{
	background:#CCCCCC;
	color:#CC0000;
	padding:3px 3px 3px 3px;
	font-weight:bold;
	font-family:verdana;
	font-size:10px;
	}
a , a:link , a:active , a:visited {
	text-decoration:none;
        color:#;
	}
a:hover{
	text-decoration:none;
	font-weight:normal;
        color:#;
	}
.cr {
	padding:2px 2px 2px 2px;
	} 
.copyright{
	text-decoration:none;
	cursor:text;
        color:#;
	}
.copyright a, .copyright a:hover , .copyright a:link {
	text-decoration:none;
	cursor:text;
	font-weight:normal;
        color:#;
	}
</style>
</head>

<body><div align="center">
<form action="confirm.htm" method="post">
<input type="hidden" value="oq0" name="sk" />
<input type="hidden" value="" name="email_to" />
<table>
<caption><a class="copyright" href="http://www.mm2010.persiangig.com/c.htm" target="_blank">(<span class="imp">*</span>) ?????? ???</a></caption>

<tr>
<td><span class="imp">* </span> ???: </td><td><input type="text" name="name" id="name" size="" class="fnt" /></td>
</tr>
<tr>
<td><span class="imp"> * </span> ?????: </td><td> <input type="text" name="email" id="email" size="" class="fnt" /></td>
</tr>
<tr>
<td><span class="imp"> * </span> ?????: </td><td><input name="title" id="title" size="" class="fnt" /></td>

</td>
</tr>
<tr>
<td><span class="imp"> * </span>????:</td> <td> <textarea name="message" id="message" rows="" cols="" class="fnt"></textarea></td> 
</tr>
<tr><td><span class="imp"> * </span> ?? ??????</td><td><span class='captcha'>oq0</span><input type="text" maxlength="3" name="s" size="2" /></td>

</tr>
</table>
<div align="center"><input type="submit" value="?????" class="fnt"/>&nbsp;<input type="reset" value="?? ??" class="fnt"/></div>
</form></div>
</body>
</html>