{{include file="field_textarea.tpl" field=$freetext}} {{include file="field_checkbox.tpl" field=$linkglobalsupport}} {{include file="field_checkbox.tpl" field=$linklocalsupport}} {{include file="field_input.tpl" field=$localsupportname}} <div class="submit"><input type="submit" name="page_site" value="{{$submit}}" /></div>