<div class="wrapper">
    <div class="row">

        <!-- notice -->
        <div class="notification-col">
            <div class="notification info text-center">
                <p class="description">
                    Fill out this form to have your password emailed to you.
                </p>
            </div>
            <? echo getMessages(); ?>
        </div>
        <!-- notice END -->
    </div>

    <div class="row">

        <form method='POST' class="form-col -access">
            <div class="row">
                
                <div class="form-item -full">
                    <label for="email" class="form-label">Email</label>
                    <input type="email" name='email' class="form-control" id="email" required placeholder="email" />
                </div>
                <div class="form-item -full">
                    <div class="captcha">
                        <img src="<?php echo $basehttp; ?>/includes/captchaBlack.php?<?php echo time(); ?>" class="captcha captcha-img captcha__img">
                        <input class="form-control captcha-input -captcha captcha__input" id="signup_captchaaa" name="captchaaa" type="text" value="" required placeholder="Human?">
                    </div>
                </div>
                <div class="form-item -actions">
                    <button class="btn btn-nav" type="submit">Submit</button>
                </div>
                
            </div>
        </form>

    </div>
</div>