                <input name="captcha_value" class="input" required placeholder='{{ "captcha"|l10n(page_data.lang) }}'  >
                </div>
            </div>

            <input type="hidden" id="captcha_id" name="captcha_id" value="{{captcha_id}}">

            <div class="field">
                <div class="control">
                    <label class="checkbox">
                    <input type="checkbox" required>
                    {{ "agree_terms"|l10n(page_data.lang) }}<a href="{{ tos_link }}" tar