source: extensions/Mail_supervisor/admin/mail_superv_test.tpl

<script type="text/javascript">
  var is_supervisor = true;
</script>
<div class="titrePage">
    <h2>{'Sv_supervisor'|translate}{'Sv_version'|translate}{$version}</h2>
</div>
<form action="" method="post" name="form">
  <fieldset>
    <legend>{'Sv_Tab_test'|translate}</legend>
          <fieldset>
    <legend>{'Sv_message_to_send'|translate}</legend>

  <table>
    <tr>
      <td><strong>{'Sv_Group'|@translate}</strong></td>
      <td>
        <select name="group" onchange="this.form.submit();" >
          {html_options options=$Group.group_options  selected=$Group.selected}
        </select>
      </td>
      <td  >
      <input type="checkbox" name="debug_mail" value="on" {$debug_mail} />&nbsp;&nbsp;{'Sv_debug_mail'|translate}
      </td>
      <td  >
          {if not empty($liste)}
         {foreach from=$liste item=group name=group_loop }
          {$group.username}&lt{$group.email}><br />
         {/foreach} 
          {/if}
         </td>
    </tr>
    </table>
    <table>
    <tr>
        <td style="width:30%">
          <span>{'subject'|@translate} </span> <input type="text" name="sujet" value="{$sujet}" size="60" ></input> </td>
        <td style="width:30%">
          <span>{'title'|@translate}</span>  <input type="text" name="titre" value="{$titre}" size="60"></input> </td>
      </tr>
    </table>
      <table>
    <tr><td><strong>{'Sv_mail_content'|@translate}</strong></td><td>
        <textarea name="MAIL_CONTENT" id="MAIL_CONTENT" class="description">{$MAIL_CONTENT}</textarea>
      </td>
    </tr>

  </table>
    </fieldset>
      <p>
      <input class="submit" type="submit" name="Submit" value="{'Sv_Valider'|@translate}" {$tag_input_enabled} />
      <input class="submit" type="submit" name="Submit" value="{'Sv_refresh'|@translate}" {$tag_input_enabled} />
      <input class="submit" type="submit" name="Submit" id="Envoyer"  value="{'Sv_Envoyer'|@translate}" {$tag_input_enabled} />

      </p>
</fieldset>
</form>