Please insert the shown text below: <br />
<form id="form1" name="form1" method="post" action="submit.php">
<p><img src="visual-captcha.php" width="200" height="60" alt="Visual CAPTCHA" /></p> 

<p>Text:
    <input name="user_code" type="text" id="user_code" />
</p>
<p>
  <input type="submit" name="Submit" value="Submit" />
</p>
</form>