<div class="mod sendMessage _lightBoxWidth_500"><div class="action"><a href="javascript:void(0)" id="close_light_box" class="close" onclick="" title="{{close_button}}"></a></div><h2>{{title}}</h2><p>{{intro_text}}</p><div class="body"><form id="{{form_id}}" action="javascript:void(0)" method="post" target="goto" onsubmit="return false;"><fieldset><ul><li><label>{{name_input_label}}</label><input type="text" id="form_name_light_box" name="{{form_name_name}}" /></li><li><label>{{email_input_label}}</label><input type="text" id="form_email_light_box" name="{{form_email_name}}" /></li><li><label>{{text_input_label}}</label><textarea id="form_textarea_light_box" name="{{form_textarea_name}}" rows="4"></textarea></li><li><span id="form_validation_feedback" class="hide">{{validation_error_message}}</span></li><li class="buttons"><button id="submit_light_box" class="send" onclick="{{onclick}}"><span><span>{{submit_button}}</span></span></button></li></ul></fieldset></form></div></div>