<br/>
<form method="post" action="{FORM_ACTION}" name="newsletterform"{FORM_TARGET}>
    <div id="contactForm">
        <div class="contactRow clearfix">
            <label for="emailname">{EMAILNAME}</label>
            <input id="emailname" type="text" name="emailname" value="" class="eingabe" maxlength="100"/>
        </div>
        <div class="contactRow clearfix">
            <label for="email">{EMAIL}</label>
            <input id="email" type="text" name="email" value="" class="eingabe" maxlength="100"/>
        </div>
        <div class="contactRow clearfix" style="padding-bottom:5px;">
            <label for="action">&nbsp;</label>
            <select name="action" class="eingabe" maxlength="100" style="float:left; margin-right:3px;">
                <option value="subscribe" selected>{SUBSCRIBE}</option>
                <option value="delete">{DELETE}</option>
            </select>
            {EXTRAHTML}
        </div>
        <hr class="clearfix" style="border: 1px solid #f1f1f1; width: 430px;"/>
        <div id="contactFormSubmit" class="clearfix">
    		<div id="contactFormSubmitLeft">
    			<input type="reset" value="{LOESCHEN}" />
    		</div>
    		<div id="contactFormSubmitRight">
    			<input type="submit" value="{ABSCHICKEN}" />
    		</div>
        </div>
    </div>
</form>
<br/>