<link href="/catalog/view/javascript/bootstrap/css/bootstrap-rtl.min.css" rel="stylesheet" media="screen" />
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<div class="container">
<form method="post" id="foundcheaper" class="form-horizontal">
<table width="100%" border="0" cellspacing="4" cellpadding="0" style="direction:rtl;">
      <td width="1%">&nbsp;</td>
    <td width="27%">محصول:</td>
    <td width="47%">شیلد پروتوتایو6,v,¶*6,vã6o¶)öãH6b6,v¦6aˆKŒˆH
[ˆ›ÝÝ\H˜\Ü™\œžHH^[œÚ[ÛˆÚY[      <input type="hidden" name="product" value="شیلد پروتوتایو6,v,¶*6,vã6o¶)öãH6b6,v¦6aˆKŒˆH
[ˆ›ÝÝ\H˜\Ü™\œžHH^[œÚ[ÛˆÚY[" /></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td><span class="required">*</span>نام</td>
    <td><input type="text" name="name" value="" class="form-control" />
    </td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td><span class="required">*</span>پست الکترونیک</td>
    <td><input type="text" name="email"  value="" class="form-control"/></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td><span class="required">*</span>قیمت</td>
    <td><input type="text" name="price"  value="" class="form-control"/></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td><span class="required">*</span>آدرس سایتی که در آن محصول با قیمت پایین تری عرضه می شود</td>
    <td><input type="text" name="url" value="" class="form-control"/></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td valign="top">پیغام</td>
    <td><textarea name="comments" cols="30" rows="4" class="form-control"></textarea></td>
    </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td><a onclick="document.getElementById('foundcheaper').submit();" class="btn btn-default"><span>ارسال</span></a></td>
    </tr>
</table>
</form>
</div>
<style>td{padding:5px;} .error{color:#FF0000; font-size:12px}</style>