<tr>
			<td class="pformleftw" valign="top"><b>{$this->ipsclass->lang['w_reason']}</b><br />{$this->ipsclass->lang['w_reason2']}</td>
			<td class="pformright"><textarea rows="6" cols="70" class="textinput" name="reason">{$this->ipsclass->input['reason']}</textarea></td>
		</tr>
		<tr>
			<td class="pformleftw"><b>{$this->ipsclass->lang['w_c_subj']}</b></td>
			<td class="pformright"><input type="text" name="subject" value="{$this->ipsclass->input['subject']}" size="30" /></td>
		</tr>
		<tr>
			<td class="pformleftw" valign="top"><b>{$this->ipsclass->lang['w_contact']}</b><br />{$this->ipsclass->lang['w_contact2']}</td>
			<td class="pformright">
				&nbsp;{$this->ipsclass->lang['w_c']}&nbsp;
				<select name="contactmethod">
<if="$no_pm != 1">
<option value="pm">{$this->ipsclass->lang['w_c_p']}</option>
</if>
					
					<option value="email">{$this->ipsclass->lang['w_c_e']}</option>
				</select>
					<br />
				{$editor_html}
			</td>
		</tr>
	</table>
		<div align="center" class="formsubtitle"><input type="submit" class='button' value="{$this->ipsclass->lang['w_submit']}" /></div>
	</div>
</form>