<div class="form-group row required page_contact ps_v_17"> <label class="col-md-3" for="pa_captcha">Enter security code </label> <div class="col-md-6"> <span class="pa-captcha-img"> <img class="pa-captcha-img-data" src="https://www.chepesciprendere.com/module/ets_advancedcaptcha/captcha?page=contact&amp;rand=6156573c6e97adf06c35f5f35138475a" alt="Security code" title="Security code" /> <span id="pa-captcha-refesh" data-rand="6156573c6e97adf06c35f5f35138475a"><img title="Refresh the code" alt="Refresh the code" src="/modules/ets_advancedcaptcha/views/img/refresh.png" /></span> </span> <input type="text" name="pa_captcha" id="pa_captcha" class="form-control grey"/> </div> <div class="col-md-3 form-control-comment"></div> </div>