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{block name="module_captcha"}
{block name="module_captcha_image"}
<img id="{$content_data.NAME}_image" src="{$content_data.URL}" width="240" height="50" alt="Captcha" />
{/block}
{block name="module_captcha_input"}
<input type="text" id="{$content_data.NAME}" name="{$content_data.NAME}" class="input-text form-control" />
{/block}
{/block}