<!-- // Raw/example -->
<form method="POST">
<!-- FUNNEL ERROR PLACEHOLDER -->
<input type="hidden" name="funnel_action" value="remindpasswd">
<input type="hidden" name="return" value="#{Return}">
<input type="hidden" name="login_url" value="#{INPUT.login_url}">
<div>
	<div style="margin-bottom: 5px;">
		<span style="display: table-cell; width: 100px;">E-mail</span>
		<span style="display: table-cell;"><input type="text" name="email"></span>
	</div>
</div>
<div style="margin-top: 20px;">
	<input type="submit" value="Send me my password!">
</div>
</form>
