File size: 736B
<div class="block story">
<div class="wrp">
<div class="head">
<h1 class="title h2 ultrabold">Recover password</h1>
</div>
<ul class="ui-form">
<li class="form-group">
<label for="lostname">Your login or e-mail on the website:</label>
<input type="text" name="lostname" id="lostname" class="wide" required>
</li>
[recaptcha]
<li>{recaptcha}</li>
[/recaptcha]
</ul>
<div class="form_submit">
[sec_code]
<div class="c-capcha">
{code}
<input placeholder="Enter the code" title="Enter the code" type="text" name="sec_code" id="sec_code" required>
</div>
[/sec_code]
<button class="btn" name="submit" type="submit"><b class="ultrabold">Submit</b></button>
</div>
</div>
</div>