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<div id="feedback">
<p>
If you have a bug report, problem with the page, feature request or question,
please contact us by filling out and submitting the following form. Your comments
and email address will be kept private in accordance with the Capacity Project's
<a target="_new" href="http://www.capacityproject.org/index.php?option=com_content&task=view&id=34&Itemid=63">privacy policy</a>.
We will use your email address only to reply to your request.
You may also contact us by emailing us directly at
<a href="mailto:hris@capacityproject.org">hris@capacityproject.org</a>.
</p>
<hr><h4>Site Feedback Form</h4>
<!-- <p>Required fields are marked with a red asterisk (<span style="color:red;"><b>*</b></span>)</p> -->
<div id="error"></div>
<form method="POST" action="feedback">
<input type="hidden" name="referer" id="referer"><table class="tableForm"><tr><td colspan="2"><label for="Comments" dir="rtl">تبصرې:</label><br><textarea name="Comments" rows="10" cols="45" id="Comments"></textarea></td>
</tr><tr class="spacer"><td><label for="Name" dir="rtl">نوم:</label></td>
<td><input type="text" name="Name" id="Name"></td>
</tr><tr><td><label for="Company">Company:</label></td>
<td><input type="text" name="Company" id="Company"></td>
</tr><tr><td><label for="Title">Title:</label></td>
<td><input type="text" name="Title" id="Title"></td>
</tr><tr><td><label for="Industry">Industry:</label></td>
<td><input type="text" name="Industry" id="Industry"></td>
</tr><tr><td><label for="Address" dir="rtl">پته:</label></td>
<td><input type="text" name="Address" id="Address"></td>
</tr><tr><td><label for="City" dir="rtl">ښار:</label></td>
<td><input type="text" name="City" id="City"></td>
</tr><tr><td><label for="State">State/Province:</label></td>
<td><input type="text" name="State" id="State"></td>
</tr><tr><td><label for="Postal_Code" dir="rtl">پوست کوډ:</label></td>
<td><input type="text" name="Postal_Code" id="Postal_Code"></td>
</tr><tr><td><label for="Country" dir="rtl">هېواد:</label></td>
<td><input type="text" name="Country" id="Country"></td>
</tr><tr class="spacer"><td><label for="Telephone" dir="rtl">ټيليفون:</label></td>
<td><input type="text" name="Telephone" id="Telephone"></td>
</tr><tr><td><label for="Fax" dir="rtl">فکس:</label></td>
<td><input type="text" name="Fax" id="Fax"></td>
</tr><tr><td><label for="Email" dir="rtl">برېښليک:</label></td>
<td><input type="text" name="Email" id="Email"></td>
</tr><tr class="spacer"><td><!-- <p class="smallGray"><span style="color: red;">*</span> Required</p> --></td>
<td><input type="submit" value="Submit" name="submit" class="button"><input type="reset" value="Clear" name="reset" class="button"></td>
</tr></table></form>
</div><!-- /feedback -->
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