<table cellpadding="5" cellspacing="3">
						<tbody><tr>
							<td class="lz_chat_form_field" width="150"><strong>Nome:</strong></td><td width="220"><input name="name" id="lz_chat_mail_name" class="lz_chat_mail_box" value="" maxlength="32"><span class="lz_index_red" id="lz_chat_login_mandatory">&nbsp;*</span></td>
						</tr>
						<tr>
							<td class="lz_chat_form_field"><strong>Email:</strong></td><td><input name="email" id="lz_chat_mail_email" class="lz_chat_mail_box" value="" maxlength="50"><span class="lz_index_red" id="lz_chat_login_mandatory">&nbsp;*</span></td>
						</tr>
						<tr>
							<td class="lz_chat_form_field">Empresa:</td><td><input name="company" id="lz_chat_mail_company" class="lz_chat_mail_box" value="" maxlength="50"></td>
						</tr>
						<tr>
							<td class="lz_chat_form_field">Texto da mensagem:</td><td valign="top"><textarea name="text" id="lz_chat_mail_message" class="lz_chat_mail_box"></textarea></td>
						</tr>
						<tr>
							<td class="lz_chat_form_field"><strong>Departamento:</strong></td>
							<td valign="middle">
								<table cellpadding="0" cellspacing="0">
									<tbody><tr>
										<td><select id="lz_chat_mail_groups"><option value="Suporte">Suporte</option><option value="Vendas">Vendas</option></select></td>
										<td width="25" align="right"><img id="lz_chat_groups_loading" src="./images/icon_network.gif" alt="" width="16" border="0" height="16">
									</td></tr>
								</tbody></table>
							</td>
						</tr>
						<tr>
							<td></td><td height="40"><input onclick="top.lz_chat_check_mail_inputs();" value="Enviar mensagem" id="lz_chat_mail_button" type="button"></td>
						</tr>
						<tr>
							<td height="40"></td>
							<td><span class="lz_index_red" id="lz_chat_login_mandatory">* Campos obrigatórios</span></td>
						</tr>
					</tbody></table>