<!--119--><!--#if expr="<X-FC-BROWSER NAME.MSIE>&&<X-FC-BROWSER OS.Mac>"--><!--#set var="ALTSTR" value="title"--><!--#else--><!--#set var="ALTSTR" value="alt"--><!--#endif-->
<!--#set var="TABLEWIDTH" value="<X-FC-FIELD PREFS.5720 DEFAULT=LANG.49.5720.9 STRING>"-->
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=<X-FC-ITEM DATA[Charset]>">
<title><X-FC-ITEM DATA[Name]></title>
<style type="text/css">
<!--
<!--#include virtual="/.templates/GlobalStyles.inc"-->
#body{width:100%;}
-->
</style>
<script language="JavaScript">
<!--
<!--#rem
PNOS ProcessNameOnSave
Generates a default name for this AB entry based on the first, middle and last name fields
-->
function PNOS(F) {
var E=F.elements;
var fD=E["FieldID:8010=STRING"];
var nF=E["FieldID:1006=STRING"].value;
var nL=E["FieldID:1014=STRING"].value;
fD.value="";
if(nF.length+nL.length>30){
nF=nF.charAt(0);
if(nF.length+nL.length>30){
nF="";
if(nL.length>31)
nL=nL.substring(0,31);
}
}
if(nF.length)
fD.value=nF;
if(nL.length)
fD.value+=(fD.value.length?" ":"")+nL;
if(fD.value.length==0)
fD.value="<X-FC-FIELD FORM.0.25 LITERALSTRING>";
}
<!--#rem SVF(vf,i,t,f)
SetVariableField(VariableFieldID,VariableFieldIndex,Type,FieldID,Index)
Stamps the value of the specifield FieldID into the specifield VariableField
-->
function SVF(vf,vfi,t,f,i){
var E=document.forms["MainForm"].elements;
var VF=E["V:"+vf+(vfi!=-1?"."+vfi:"")];
var DF=E["FieldID:"+f+(i!=-1?"."+i:"")+"="+t];
VF.value=DF.value;
}
<!--#rem UVF(sf,sfi,t,v,i)
UpdateVariableField(SelectionField,SelectionFieldIndex,Type,Value,Index)
Updates the value of the currently selected variable field indicated by the selection field
-->
function UVF(sf,si,t,v,i){
var E=document.forms["MainForm"].elements;
var S=E["FieldID:"+sf+(si!=-1?"."+i:"")+"=LONG"];
var f=S.options[S.selectedIndex].value;
E["FieldID:"+f+(i!=-1?"."+i:"")+"="+t].value=v;
}
<!--#include virtual="/.Templates/JavaScript/SendFunctions.inc"-->
<!--#include virtual="/.Templates/JavaScript/DateFunctions.inc"-->
<!--#include virtual="/.Templates/JavaScript/ComboFunctions.inc"-->
<!--#include virtual="/.Templates/JavaScript/TabFunctions.inc"-->
//-->
</script>
</head>
<body dir="<X-FC-FIELD LANG.7500 DEFAULT="ltr" STRING>" bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB>"<X-FC-BACKGROUND-PICTURE HTML> leftmargin="0" rightmargin="0" topmargin="0" marginwidth="0" marginheight="0">
<form name="MainForm" action="<X-FC-OBJURL SLASH>FormSave?Clear=0&Templates=AB" method="post" enctype="multipart/form-data"<!--#if expr="<X-FC-URL-PARAMETER TabID NUMBER> == 5000 || <X-FC-URL-PARAMETER TabID NUMBER> == 0"--> onSubmit="PNOS(this);"<!--#endif-->>
<input type="hidden" name="CharSet" value="<X-FC-ITEM DATA[CharSet]>">
<input type="hidden" name="KeepNames" value="<!--#if expr="<X-FC-URL-PARAMETER TabID NUMBER> == 5000 || <X-FC-URL-PARAMETER TabID NUMBER> == 0"-->0<!--#else-->1<!--#endif-->">
<input type="hidden" name="FieldID:8010=STRING" value="<X-FC-FIELD 8010 STRING>">
<!--#include virtual="/.templates/toolbars/NavForm.inc" -->
<table width="<!--#echo var="TABLEWIDTH"-->" bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" cellpadding="2" cellspacing="0" border="0">
<tr>
<td> </td>
<td><img src="/Icons/<X-FC-ITEM DATA[Icon]>" <!--#echo var="ALTSTR"-->="<X-FC-FIELD LANG.119.0.25 STRING>"
border="0"></td>
<td class="title" nowrap><X-FC-ITEM DATA[Name]></td>
<td width="100%"><img src="/Icons/0" width="1" height="1" border="0"></td>
<td><input type="submit" class="button" value=" <X-FC-FIELD LANG.CMD.5.0 STRING> "></td>
<td><input type="reset" class="button" value=" <X-FC-FIELD LANG.CMD.7.0 STRING> " onClick="document.forms['ResetForm'].submit();return false;"></td>
<td> </td>
</tr>
</table><!--#if expr="<X-FC-URL-PARAMETER TabID NUMBER> == 5000 || <X-FC-URL-PARAMETER TabID NUMBER> == 0"-->
<input type="hidden" name="FieldID:1007=STRING" value="<X-FC-FIELD 1007 STRING>">
<input type="hidden" name="FieldID:1009=STRING" value="<X-FC-FIELD 1009 STRING>">
<input type="hidden" name="FieldID:1048=STRING" value="<X-FC-FIELD 1048 STRING>">
<input type="hidden" name="FieldID:1051=STRING" value="<X-FC-FIELD 1051 STRING>">
<input type="hidden" name="FieldID:1065=STRING" value="<X-FC-FIELD 1065 STRING>">
<input type="hidden" name="FieldID:1066=STRING" value="<X-FC-FIELD 1066 STRING>">
<input type="hidden" name="FieldID:1067=STRING" value="<X-FC-FIELD 1067 STRING>">
<input type="hidden" name="FieldID:1068=STRING" value="<X-FC-FIELD 1068 STRING>">
<input type="hidden" name="FieldID:1082=STRING" value="<X-FC-FIELD 1082 STRING>"><!--#if expr="<X-FC-RECIPIENT-COUNT CC>"-->
<input type="hidden" name="CC" value="<X-FC-RECIPIENT CC 0 DATA[Name]><!--#set var="RECIPIENTNUM" value="0"--><!--#while expr="++$RECIPIENTNUM < <X-FC-RECIPIENT-COUNT CC>"-->;<X-FC-RECIPIENT CC $RECIPIENTNUM DATA[Name]><!--#endwhile-->"><!--#endif-->
<table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="2" border="0"></td>
</tr>
<tr>
<td> </td>
<td><a href="JavaScript://" onClick="PNOS(document.forms['MainForm']);TS(-1);return false;"><img src="/Icons/15032" width="12" height="12" border="0"></a></td>
<td nowrap> <a class="p" href="JavaScript://" onClick="PNOS(document.forms['MainForm']);TS(-1);return false;"><X-FC-FIELD LANG.119.5000.25 STRING></a></td>
<td width="100%"> </td>
</tr>
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="2" cellspacing="0" border="0">
<tr>
<td colspan="5"><img src="/Icons/0" width="1" height="5" border="0"></td>
</tr>
<tr>
<td> </td>
<td valign="top"><table cellpadding="0" cellspacin="0" border="0">
<tr>
<td class="gtb" align="right" nowrap><X-FC-FIELD LANG.119.1160.9 STRING></font></td>
<td> </td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F2"><X-FC-FIELD FORM.4002.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1014=STRING" id="F2" size="30" value="<X-FC-FIELD 1014 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F3"><X-FC-FIELD FORM.4000.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1006=STRING" id="F3" size="30" value="<X-FC-FIELD 1006 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F4"><X-FC-FIELD FORM.4003.9 STRING></label></td>
<td><table cellpadding="0" cellspacing="0" border="0">
<tr>
<td><select class="forms" name="C:1015" id="F4" onChange="DCS(1015,-1,'STRING',this,0);">
<option></option><!--#set var="VALUE" value="0"--><!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.1015.10 LITERALSTRING>"--><!--#set var="FIELD" value="<X-FC-FIELD 1015 DEFAULT=PROP.9 STRING>"--><!--#while expr="$LISTSTRING"--><!--#set var="VALUESTRING" expr="@split($LISTSTRING,';')"--><!--#set var="CAPTION" expr="@split($VALUESTRING,'=')"-->
<option <!--#if expr="$CAPTION==~$FIELD"--> selected<!--#endif-->><!--#echo var="$CAPTION"--></option><!--#endwhile-->
</select></td>
<td class="p" nowrap> </td>
<td><input class="forms" type="text" id="F4" value="<!--#echo var="$FIELD"-->" name="FieldID:1015=STRING" onChange="DCE(1015,-1,this.value,0,0);"></td>
</tr>
</table></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F5"><X-FC-FIELD FORM.1010.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1027=STRING" id="F5" size="30" value="<X-FC-FIELD 1027 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td colspan="2" class="p"> </td>
</tr>
<tr>
<td class="gtb" align="right" nowrap><X-FC-FIELD LANG.119.1062.9 STRING></font></td>
<td> </td>
</tr>
<tr>
<td class="gt" align="right" valign="top" nowrap><label for="F6"><X-FC-FIELD FORM.1019.9 STRING></label></td>
<td><textarea class="forms" name="FieldID:1016=LITERALSTRING" id="F6" rows="4" cols="32"><X-FC-FIELD 1016 DEFAULT=PROP.9 LITERALSTRING></textarea></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F7"><X-FC-FIELD FORM.1020.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1017=STRING" id="F7" size="30" value="<X-FC-FIELD 1017 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F8"><X-FC-FIELD FORM.1021.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1018=STRING" id="F8" size="30" value="<X-FC-FIELD 1018 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F9"><X-FC-FIELD FORM.1022.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1024=STRING" id="F9" size="30" value="<X-FC-FIELD 1024 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F10"><X-FC-FIELD FORM.1023.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1025=STRING" id="F10" size="30" value="<X-FC-FIELD 1025 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td colspan="2"><img src="/Icons/0" width="1" height="15" border="0"></td>
</tr>
</tr>
<td class="gt" align="right" nowrap><X-FC-FIELD FORM.1033.9 STRING></td>
<td><input class="forms" type="text" name="FieldID:8021=STRING" size="30" value="<X-FC-FIELD 8021 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td colspan="2"><img src="/Icons/0" width="1" height="5" border="0"></td>
</tr>
</table></td>
<td><img src="/icons/0" width="20" height="1" border="0"></td>
<td valign="top"><table cellpadding="0" cellspacin="0" border="0">
<tr>
<td class="gtb" align="right" nowrap><X-FC-FIELD LANG.119.1064.9 STRING></font></td>
<td> </td>
</tr>
<tr>
<td align="right" nowrap><select class="forms" name="FieldID:1108=LONG" onChange="SVF(1007,-1,'STRING',this.options[this.selectedIndex].value,-1);"><!--#set var="VALUE" value="0"--><!--#set var="FIELD" value="<X-FC-FIELD 1108 DEFAULT=PROP.11 NUMBER>"--><!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.1108.104 LITERALSTRING>"--><!--#while expr="$LISTSTRING"--><!--#set var="LISTVALUE" expr="@split($LISTSTRING,';')"--><!--#set var="CAPTION" expr="@split($LISTVALUE,'=')"--><!--#if expr="@length($LISTVALUE)"--><!--#set var="VALUE" value="$LISTVALUE"--><!--#endif-->
<option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE == $FIELD"--> selected<!--#endif-->><!--#echo var="CAPTION"--></option><!--#set var="VALUE" expr="$VALUE + 1"--><!--#endwhile-->
</select></td>
<td><input class="forms" type="text" name="V:1007" size="30" value="<X-FC-FIELD `$FIELD` STRING>" onChange="UVF(1108,-1,'STRING',this.value,-1);"></td>
</tr>
<tr>
<td align="right" nowrap><select class="forms" name="FieldID:1111=LONG" onChange="SVF(1065,-1,'STRING',this.options[this.selectedIndex].value,-1);"><!--#set var="VALUE" value="0"--><!--#set var="FIELD" value="<X-FC-FIELD 1111 DEFAULT=PROP.11 NUMBER>"--><!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.1111.104 LITERALSTRING>"--><!--#while expr="$LISTSTRING"--><!--#set var="LISTVALUE" expr="@split($LISTSTRING,';')"--><!--#set var="CAPTION" expr="@split($LISTVALUE,'=')"--><!--#if expr="@length($LISTVALUE)"--><!--#set var="VALUE" value="$LISTVALUE"--><!--#endif-->
<option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE == $FIELD"--> selected<!--#endif-->><!--#echo var="CAPTION"--></option><!--#set var="VALUE" expr="$VALUE + 1"--><!--#endwhile-->
</select></td>
<td><input class="forms" type="text" name="V:1065" size="30" value="<X-FC-FIELD `$FIELD` STRING>" onChange="UVF(1111,-1,'STRING',this.value,-1);"></td>
</tr>
<tr>
<td align="right" nowrap><select class="forms" name="FieldID:1312=LONG" onChange="SVF(1051,-1,'STRING',this.options[this.selectedIndex].value,-1);"><!--#set var="VALUE" value="0"--><!--#set var="FIELD" value="<X-FC-FIELD 1312 DEFAULT=PROP.11 NUMBER>"--><!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.1312.104 LITERALSTRING>"--><!--#while expr="$LISTSTRING"--><!--#set var="LISTVALUE" expr="@split($LISTSTRING,';')"--><!--#set var="CAPTION" expr="@split($LISTVALUE,'=')"--><!--#if expr="@length($LISTVALUE)"--><!--#set var="VALUE" value="$LISTVALUE"--><!--#endif-->
<option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE == $FIELD"--> selected<!--#endif-->><!--#echo var="CAPTION"--></option><!--#set var="VALUE" expr="$VALUE + 1"--><!--#endwhile-->
</select></td>
<td><input class="forms" type="text" name="V:1051" size="30" value="<X-FC-FIELD `$FIELD` STRING>" onChange="UVF(1312,-1,'STRING',this.value,-1);"></td>
</tr>
<tr>
<td align="right" nowrap><select class="forms" name="FieldID:1155=LONG" onChange="SVF(1067,-1,'STRING',this.options[this.selectedIndex].value,-1);"><!--#set var="VALUE" value="0"--><!--#set var="FIELD" value="<X-FC-FIELD 1155 DEFAULT=PROP.11 NUMBER>"--><!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.1155.104 LITERALSTRING>"--><!--#while expr="$LISTSTRING"--><!--#set var="LISTVALUE" expr="@split($LISTSTRING,';')"--><!--#set var="CAPTION" expr="@split($LISTVALUE,'=')"--><!--#if expr="@length($LISTVALUE)"--><!--#set var="VALUE" value="$LISTVALUE"--><!--#endif-->
<option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE == $FIELD"--> selected<!--#endif-->><!--#echo var="CAPTION"--></option><!--#set var="VALUE" expr="$VALUE + 1"--><!--#endwhile-->
</select></td>
<td><input class="forms" type="text" name="V:1067" size="30" value="<X-FC-FIELD `$FIELD` STRING>" onChange="UVF(1155,-1,'STRING',this.value,-1);"></td>
</tr>
<tr>
<td class="gt" align="right" valign="top" nowrap><label for="F13"><X-FC-FIELD FORM.1071.9 STRING></label></td>
<td><textarea class="forms" name="To id="F13" rows="4" cols="32" wrap><!--#set var="RECIPIENTNUM" value="-1"--><!--#while expr="++$RECIPIENTNUM < <X-FC-RECIPIENT-COUNT TO>"--><X-FC-RECIPIENT TO $RECIPIENTNUM DATA[Name]>
<!--#endwhile--></textarea> </td>
</tr>
<tr>
<td class="p"> </td>
<td><hr></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F15"><X-FC-FIELD FORM.1269.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1070=STRING" id="F15" size="30" value="<X-FC-FIELD 1070 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F16"><X-FC-FIELD FORM.1072.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1073=STRING" id="F16" size="30" value="<X-FC-FIELD 1073 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F17"><X-FC-FIELD FORM.1079.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1080=STRING" id="F17" size="30" value="<X-FC-FIELD 1080 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td class="gt" align="right" nowrap><label for="F18"><X-FC-FIELD FORM.1175.9 STRING></label></td>
<td><input class="forms" type="text" name="FieldID:1076=STRING" id="F18" size="30" value="<X-FC-FIELD 1076 DEFAULT=PROP.9 STRING>"></td>
</tr>
<tr>
<td colspan="2"><img src="/Icons/0" width="1" height="5" border="0"></td>
</tr>
</table></td>
<td width="100%" class="p"> </td>
</tr>
</table><!--#else-->
<input type="hidden" name="FieldID:1006=STRING" value="<X-FC-FIELD 1006 STRING>">
<input type="hidden" name="FieldID:1014=STRING" value="<X-FC-FIELD 1014 STRING>">
<table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="2" border="0"></td>
</tr>
<tr>
<td> </td>
<td><a href="JavaScript://" onClick="TS(5000);return false;"><img src="/Icons/15030" width="12" height="12" border="0"></a></td>
<td nowrap> <a class="p" href="JavaScript://" onClick="TS(5000);return false;"><X-FC-FIELD LANG.119.5000.25 STRING></a></td>
<td width="100%"> </td>
</tr>
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
<tr>
<td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="4"><img src="/Icons/0" width="1" height="1" border="0"></td>
</tr>
</table><!--#endif--><!--#if expr="<X-FC-URL-PARAMETER TabID NUMBER> == 5001"-->
<table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="2" border="0"></td>
</tr>
<tr>
<td> </td>
<td><a href="JavaScript://" onClick="TS(-1);return false;"><img src="/Icons/15032" width="12" height="12" border="0"></a></td>
<td nowrap> <label for="F19"><a class="p" href="JavaScript://" onClick="TS(-1);return false;"><X-FC-FIELD LANG.119.5001.25 STRING></a></label></td>
<td width="100%"> </td>
</tr>
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="2" cellspacing="0" border="0">
<tr>
<td colspan="2"><img src="/Icons/0" width="1" height="5" border="0"></td>
</tr>
<tr>
<tr>
<td class="gt" valign="top"> <X-FC-FIELD LANG.119.5001.25 STRING>:</td>
<td width="100%"><textarea class="forms" name="FieldID:1005=LITERALSTRING" id="F19" rows="8" cols="62" wrap><X-FC-FIELD 1005 LITERALSTRING></textarea></td>
</tr>
<tr>
<td colspan="2"><hr></td>
</tr>
<tr>
<td colspan="2"><textarea id="body" class="forms" name="body" rows="10" cols="62" wrap><X-FC-BODY FORMAT=PLAIN></textarea></td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td><img src="/Icons/0" width="1" height="1" border="0"></td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td><img src="/Icons/0" width="1" height="1" border="0"></td>
</tr>
</table><!--#else-->
<table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="2" border="0"></td>
</tr>
<tr>
<td> </td>
<td><a href="JavaScript://" onClick="PNOS(document.forms['MainForm']);TS(5001);return false;"><img src="/Icons/15030" width="12" height="12" border="0"></a></td>
<td nowrap> <a class="p" href="JavaScript://" onClick="PNOS(document.forms['MainForm']);TS(5001);return false;"><X-FC-FIELD LANG.119.5001.25 STRING></a></td>
<td width="100%"> </td>
</tr>
<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
<tr>
<td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="4"><img src="/Icons/0" width="1" height="1" border="0"></td>
</tr>
</table><!--#endif-->
<table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td><table cellpadding="2" cellspacing="0" border="0" align="center">
<tr>
<td> </td>
<td><input type="submit" class="button" value=" <X-FC-FIELD LANG.CMD.5.0 STRING> "></td>
<td><input type="reset" class="button" value=" <X-FC-FIELD LANG.CMD.7.0 STRING> " onClick="document.forms['ResetForm'].submit();return false;"></td>
<td> </td>
</tr>
</table></td>
</tr>
</table>
</form>
<form name="ResetForm" action="<X-FC-OBJURL SLASH>FormSave?Clear=0&TargetURL=<X-FC-OBJURL>" method="post">
<input type="hidden" name="Close" value="1">
</form><!--#if expr="$SRVR_ERR_FCPCODE"-->
<script language="JavaScript">
alert("<X-FC-FIELD LANG.ERR.`$SRVR_ERR_FCPCODE` ESCAPED> [<!--#echo var="SRVR_ERR_FCPCODE"-->]");
</script><!--#endif-->
<!--#include virtual="/.templates/toolbars/FooterForm.inc"-->
</body>
</html>
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