{% load i18n %}
<script type="text/javascript" src="/media/feedback/js/feedback.js"></script>
<form action="{% url ajax_feedback %}" method="post" id="id_feedback_form">
    <table>
        {{ form.as_table }}
        <tr><td colspan="2" class="center submit "><input type="submit" value="{% trans 'Send' %}" /></td></tr>
    </table>
</form>