100%" bgcolor="" cellpadding="0" cellspacing="0" border="0" summary="">
bgcolor="" valign="top"> onmouseover="dTBMI();" onmouseout="dTBMO();"> style="display:none;"> style="display:none;"> style="display:none;"> style="display:none;"> style="display:none;"> style="display:none;">
>" alt="" title="" width="" height="" />
 "-->/Icons/i11001" alt="" width="24" height="24" />  
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"-->??PreviewType=');"> "-->/Icons/i11163" alt="" width="24" height="24" />  
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"-->&TargetURL=&TreeType=&SAEO=&JumpAction=7&TargetURL=/.Templates/Blank.html&NPIC'+gVK());"> "-->/Icons/i11144" alt="" width="24" height="24" />  
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"-->&ShowInternetHeader=1','PRINTWIN')"> "-->/Icons/i11009" alt="" width="24" height="24" />  
 "-->/Icons/i11278" alt="" width="24" height="24" />  
.wav" loop="1"/>.wav" hidden="true" autoplay="true" width="24" height="24" style="position:absolute;visibility:hidden;">
 
 
 Edit.49
 
<?xml version="1.0" encoding="<X-FC-ITEM DATA[Charset]>"?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<!--E49 H=<X-FC-REQUEST-TIME HEADER> LS=<X-FC-REQUEST-TIME LOGIN.START> L=<X-FC-REQUEST-TIME LOGIN> OS=<X-FC-REQUEST-TIME OPEN.START> O=<X-FC-REQUEST-TIME OPEN> T=<X-FC-REQUEST-TIME>--><X-FC-WHITESPACE STRIP>
<!--#if expr="<X-FC-URL-PARAMETER InAttach NUMBER>"-->
        <!--#set var="NavPosition" value="5"-->
<!--#elif expr="<X-FC-URL-PARAMETER PreviewType NUMBER>"-->
        <!--#set var="NavPosition" value="0"-->
<!--#else-->
        <!--#set var="NavPosition" value="<X-FC-FIELD PREFS.5513 DEFAULT=LANG.49.5513.11 NUMBER>"-->
        <!--#if expr="$NavPosition==-1"-->
                <!--#set var="NavPosition" value="<X-FC-FIELD SITEPREF.5513 DEFAULT=LANG.49.5513.11 NUMBER>"-->
        <!--#endif-->
<!--#endif-->
<X-FC-WHITESPACE RETAIN>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=<X-FC-ITEM DATA[Charset]>"/>
<title><X-FC-ITEM DATA[Title]></title>
<!--#include virtual="/.Templates/GlobalStyles.inc"-->
<script type="text/javascript" src="/.Templates/JavaScript/URLEscape.pjs"></script>
<script type="text/javascript">
<!--
<!--#include virtual="/.Templates/JavaScript/FormEditFunctions.inc"-->
<!--#include virtual="/.Templates/JavaScript/ColourFunctions.inc"-->
<!--#set var="NFINDEPINDECES" value="0"--><!--#include virtual="/.Templates/JavaScript/NumberFunctions.inc"-->
<X-FC-WHITESPACE STRIP>
<!--#rem
TE(f,v,t)       ThemeEntry object(FieldID, Value, Type)

Types are (0 == number field, 1 == colour field)
-->
function TE(f,v,t){
this.f=f;
this.v=v;
this.t=t;
}
var T=[];
<!--#set var="THEMESTRING" value="<X-FC-FIELD FORM.5625.119 LITERALSTRING>"-->
<!--#while expr="$THEMESTRING"-->
        <!--#set var="THEME" expr="@split($THEMESTRING,';')"-->
        <!--#set var="TID" expr="@split($THEME,'/')"-->
T[<!--#echo var="TID"-->]=[];
        <!--#set var="NDX" value="0"-->
        <!--#while expr="$THEME"-->
                <!--#set var="ENTRY" expr="@split($THEME,'-')"-->
                <!--#set var="ID" expr="@split($ENTRY,':')"-->
                <!--#if expr="$ENTRY != 'E'"-->
                        <!--#set var="DATA" expr="@split($ENTRY,':')"-->
                        <!--#if expr="@substr($DATA,0,1) == 'x'"-->
                                <!--#set var="DATA" expr="@substr($DATA,1,6)"-->
                                <!--#set var="TYPE" value="1"-->
                        <!--#else-->
                                <!--#set var="TYPE" value="0"-->
                        <!--#endif-->
T[<!--#echo var="TID"-->][<!--#echo var="NDX"-->]=new TE(<!--#echo var="ID"-->,<!--#if expr="$TYPE == 1"-->0x<!--#endif--><!--#echo var="DATA"-->,<!--#echo var="TYPE"-->);
                        <!--#set var="NDX" expr="$NDX + 1"-->
                <!--#endif-->
        <!--#endwhile-->
<!--#endwhile-->
<!--#rem
dut     DoingThemeUpdate
-->
var dut=0;
<!--#rem
dT(t)   doTheme(themeid)
-->
function dT(t){
var E=document.forms["MainForm"].elements;
if(t>0&&t<T.length){
        dut=1;
        for(var n=0;n<T[t].length;n++){
                if(T[t][n].t==1){
                        SCC(T[t][n].f,-1,T[t][n].v);
                }else{
                        E["FieldID:"+T[t][n].f+".0=LONG"].value=T[t][n].v;
                        UNF(T[t][n].f,0);
                }
        }
        dut=0;
}else{
        E["FieldID:5625=LONG"].selectedIndex=0;
}
}
<!--#rem
TCUF(f,i,v)     ThemeCustomUpdateFunction
callback number update funciton for themes
-->
function TCUF(f,i,v){
if(f>=5646&&f<=5696&&dut==0){
        dT(0);
}
return v;
}
<X-FC-WHITESPACE RETAIN>
//-->
</script>
</head>
<body dir="<X-FC-FIELD LANG.7500 DEFAULT="ltr" STRING>" bgcolor="<!--#if expr="$ENVELOPE"--><X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB><!--#else--><X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB><!--#endif-->">
<X-FC-WHITESPACE STRIP>
<!--#if expr="$NavPosition==2 || $ENVELOPE"-->
        <!--#set var="TABLEWIDTH" value="100%"-->
<!--#else-->
        <!--#set var="TABLEWIDTH" value="<X-FC-FIELD PREFS.5720 DEFAULT=LANG.49.5720.9 STRING>"-->
<!--#endif-->
<!--#if expr="$NavPosition != 2 && $NavPosition != 5 && <X-FC-URL-PARAMETER PreviewType NUMBER> == 0 && <X-FC-FIELD PREFS.5707 DEFAULT=LANG.49.5707.9 LENGTH>"-->
        <!--#include virtual="/.Templates/Toolbars/Banner.inc"--><X-FC-WHITESPACE RETAIN>
<X-FC-WHITESPACE STRIP>
<!--#endif-->
<!--#if expr="$NavPosition==0"-->
        <!--#include virtual="/.Templates/Toolbars/NavForm.inc" --><X-FC-WHITESPACE RETAIN>
<X-FC-WHITESPACE STRIP>
<!--#elif expr="$NavPosition==2"-->
        <!--#include virtual="/.Templates/Toolbars/NavFormSide.inc"--><X-FC-WHITESPACE RETAIN>
<X-FC-WHITESPACE STRIP>
<!--#elif expr="$NavPosition==3"-->
        <!--#include virtual="/.Templates/Toolbars/NavFormText.inc" --><X-FC-WHITESPACE RETAIN>
<X-FC-WHITESPACE STRIP>
<!--#endif-->
<form name="MainForm" action="<X-FC-OBJURL SLASH>__FormSave?Clear=0" method="post" enctype="multipart/form-data" onsubmit="if(CS){CS=0;}else{return false;}">
<input type="hidden" name="CharSet" value="<X-FC-ITEM DATA[Charset]>"/>
<input type="hidden" name="VKey" value="<X-FC-SESSION VKEY>"/>
<input type="hidden" name="FieldID:5511=SHORT" value="<X-FC-FIELD 5511 DEFAULT=1 NUMBER>"/>
<input type="hidden" name="FieldID:5521=SHORT" value="<X-FC-FIELD 5521 DEFAULT=PROP.85 NUMBER>"/>
<table width="<!--#echo var="TABLEWIDTH"-->" bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" cellpadding="0" cellspacing="0" border="0" summary="">
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB>" colspan="3" style="height:1px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:3px;"></td>
</tr>
<tr>
        <td class="title" bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>">&nbsp;</td>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" width="100%"><table width="100%" cellpadding="0" cellspacing="0" border="0" summary="<X-FC-FIELD 7536.16 STRING>">
        <tr>
<!--#if expr="<X-FC-URL-PARAMETER PreviewType NUMBER> == 0 && <X-FC-URL-PARAMETER U1U EXISTS> == 0 && <X-FC-URL-PARAMETER InAttach NUMBER> == 0"-->
        <!--#set var="RS" value=" rowspan=\"2\""-->
<!--#else-->
        <!--#set var="RS" value=""-->
<!--#endif-->
                <td valign="top"><input type="hidden" name="FieldID:1.0=LONG" value="<X-FC-ITEM DATA[Icon] NUMBER>"/><a href="JavaScript://" onclick="return OIW(event,1,0);"><img name="Icon:1.0" src="<X-FC-ITEM DATA[Icon] LARGEPATH>" alt="" width="32" height="32"/></a></td>
                <td class="title"<!--#echo var="RS"-->>&nbsp;</td>
                <td class="title" nowrap="nowrap"><X-FC-FIELD FORM.0.25 STRING><!--#if expr="<X-FC-ITEM DATA[Title] LENGTH>"-->:&nbsp;<X-FC-ITEM DATA[Title]><!--#endif--></td>
                <td width="100%">&nbsp;</td>
<!--#if expr="<X-FC-ITEM DATA[ObjType] IsMsg> && <X-FC-ITEM DATA[Status] Outgoing> && (<X-FC-ITEM DATA[Status] Sent> == 0)"-->
                <td<!--#echo var="RS"-->><input id="MB:ST" class="button" type="submit" value=" <X-FC-FIELD LANG.CMD.152.0 STRING> " onclick="return sdf();"<!--#if expr="(<X-FC-RECIPIENT-COUNT TO> + <X-FC-RECIPIENT-COUNT CC> + <X-FC-RECIPIENT-COUNT BCC>)==0"--> disabled="disabled"<!--#endif-->/></td>
                <td class="title"<!--#echo var="RS"-->>&nbsp;</td>
<!--#endif-->
                <td<!--#echo var="RS"-->><input class="button" type="submit" value=" <X-FC-FIELD LANG.CMD.5.0 STRING> " onclick="return svf();"/></td>
                <td class="title"<!--#echo var="RS"-->>&nbsp;</td>
                <td<!--#echo var="RS"-->><input class="button" type="reset" value=" <X-FC-FIELD LANG.CMD.7.0 STRING> " onclick="return rsf();"/></td>
        </tr>
<!--#if expr="<X-FC-URL-PARAMETER PreviewType NUMBER> == 0 && <X-FC-URL-PARAMETER U1U EXISTS> == 0 && <X-FC-URL-PARAMETER InAttach NUMBER> == 0"-->
        <tr>
                <td></td>
                <td colspan="2"><!--#include virtual="/.Templates/Toolbars/MapGeneral.inc"--></td>
        </tr>
<!--#endif-->
        </table></td>
        <td class="title" bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>">&nbsp;</td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:4px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
        <td class="secTitle" bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" nowrap="nowrap"><X-FC-FIELD FORM.4100.25 STRING></td>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
</tr>
<tr>
        <td colspan="3" style="height:3px;"></td>
</tr>
<tr>
        <td></td>
        <td><table cellpadding="2" cellspacing="0" border="0" summary="">
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4516.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5516,-1,<X-FC-FIELD 5516 DEFAULT=PROP.11 NUMBER>,25,<X-FC-FIELD FORM.5516.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5516.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5516.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5516.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5516.27 ESCAPED>","<X-FC-FIELD FORM.5516.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4513.9 STRING></td>
                <td><select class="forms" name="FIeldID:5513=LONG">
<!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.5513.10 LITERALSTRING>"-->
<!--#set var="VALUE" value="0"-->
<!--#while expr="@length($LISTSTRING)"-->
        <!--#set var="CURVAL" expr="@split($LISTSTRING, ';')"-->
        <!--#set var="CAPTION" expr="@split($CURVAL,'=')"-->
        <!--#if expr="@length($CURVAL)"-->
                <!--#set var="VALUE" value="$CURVAL"-->
        <!--#endif-->
                        <option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE++ == <X-FC-FIELD 5513 DEFAULT=PROP.11 NUMBER>"--> selected="selected"<!--#endif-->><!--#echo expr="@mlescape($CAPTION)"--></option>
<!--#endwhile-->
                </select></td>
                <td><div style="width:20px;"></div></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4524.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5524=STRING" size="15" value="<X-FC-FIELD 5524 DEFAULT=PROP.9 STRING>"/></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4515.9 STRING></td>
                <td><select class="forms" name="FIeldID:5515=LONG">
<!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.5515.10 LITERALSTRING>"-->
<!--#set var="VALUE" value="0"-->
<!--#while expr="@length($LISTSTRING)"-->
        <!--#set var="CURVAL" expr="@split($LISTSTRING, ';')"-->
        <!--#set var="CAPTION" expr="@split($CURVAL,'=')"-->
        <!--#if expr="@length($CURVAL)"-->
                <!--#set var="VALUE" value="$CURVAL"-->
        <!--#endif-->
                        <option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE++ == <X-FC-FIELD 5515 DEFAULT=PROP.11 NUMBER>"--> selected="selected"<!--#endif-->><!--#echo expr="@mlescape($CAPTION)"--></option>
<!--#endwhile-->
                </select></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td colspan="5"><hr/></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4720.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5720=STRING" size="15" value="<X-FC-FIELD 5720 DEFAULT=PROP.9 STRING>"/></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4514.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5514,-1,<X-FC-FIELD 5514 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5514.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5514.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5514.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5514.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5514.27 ESCAPED>","<X-FC-FIELD FORM.5514.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4511.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5515,-1,<X-FC-FIELD 5515 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5515.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5515.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5515.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5515.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5515.27 ESCAPED>","<X-FC-FIELD FORM.5515.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.5511.9 STRING>:</td>
                <td><input type="checkbox"<!--#if expr="<X-FC-FIELD 5511 DEFAULT=PROP.85 NUMBER>"--> checked="checked"<!--#endif--> onclick="this.form.elements['FieldID:5511=SHORT'].value=(this.checked?1:0);"/></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4512.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5512,-1,<X-FC-FIELD 5512 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5512.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5512.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5512.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5512.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5512.27 ESCAPED>","<X-FC-FIELD FORM.5512.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4517.9 STRING></td>
                <td><select class="forms" name="FIeldID:5517=LONG">
<!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.5517.10 LITERALSTRING>"-->
<!--#set var="VALUE" value="0"-->
<!--#while expr="@length($LISTSTRING)"-->
        <!--#set var="CURVAL" expr="@split($LISTSTRING, ';')"-->
        <!--#set var="CAPTION" expr="@split($CURVAL,'=')"-->
        <!--#if expr="@length($CURVAL)"-->
                <!--#set var="VALUE" value="$CURVAL"-->
        <!--#endif-->
                        <option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE++ == <X-FC-FIELD 5517 DEFAULT=PROP.11 NUMBER>"--> selected="selected"<!--#endif-->><!--#echo expr="@mlescape($CAPTION)"--></option>
<!--#endwhile-->
                </select></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td colspan="5"><hr/></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4523.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5523=STRING" size="15" value="<X-FC-FIELD 5523 DEFAULT=PROP.9 STRING>"/></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.5521.9 STRING></td>
                <td><input type="checkbox"<!--#if expr="<X-FC-FIELD 5521 DEFAULT=PROP.85 NUMBER>"--> checked="checked"<!--#endif--> onclick="this.form.elements['FieldID:5521=SHORT'].value=(this.checked?1:0);"/></td>
                <td colspan="3"></td>
        </tr>
        <tr>
                <td class="p">&nbsp;</td>
                <td colspan="4"><textarea class="forms" name="FieldID:5522=TEXT" rows="3" cols="45"><X-FC-FIELD 5522 DEFAULT=PROP.9 MLSTRING></textarea></td>
        </tr>
        </table></td>
        <td></td>
</tr>
<tr>
        <td colspan="3" style="height:5px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:1px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
        <td class="secTitle" bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" nowrap="nowrap"><X-FC-FIELD FORM.5000.25 STRING></td>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
</tr>
<tr>
        <td colspan="3" style="height:3px;"></td>
</tr>
<tr>
        <td></td>
        <td><table cellpadding="2" cellspacing="0" border="0" summary="">
        <tr>
                <td class="gt" align="right" nowrap><X-FC-FIELD FORM.4800.9 STRING></td>
                <td><select class="forms" name="FieldID:5625=LONG" onchange="dT(this.options[this.selectedIndex].value);">
<!--#set var="LISTSTRING" value="<X-FC-FIELD FORM.5625.10 LITERALSTRING>"-->
<!--#set var="VALUE" value="0"-->
<!--#while expr="@length($LISTSTRING)"-->
        <!--#set var="CURVAL" expr="@split($LISTSTRING, ';')"-->
        <!--#set var="CAPTION" expr="@split($CURVAL,'=')"-->
        <!--#if expr="@length($CURVAL)"-->
                <!--#set var="VALUE" value="$CURVAL"-->
        <!--#endif-->
                        <option value="<!--#echo var="VALUE"-->"<!--#if expr="$VALUE++ == <X-FC-FIELD 5625 DEFAULT=PROP.11 NUMBER>"--> selected="selected"<!--#endif-->><!--#echo expr="@mlescape($CAPTION)"--></option>
<!--#endwhile-->
                </select></td>
        </tr>
        </table></td>
        <td></td>
</tr>
<tr>
        <td></td>
        <td class="gtb" nowrap="nowrap"><X-FC-FIELD FORM.5001.25 STRING></td>
        <td></td>
</tr>
<tr>
        <td></td>
        <td><table cellpadding="2" cellspacing="0" border="0" summary="">
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4604.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5602,-1,"<X-FC-FIELD 5602 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5602.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td rowspan="7"><div style="width:30px;"></div></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4600.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5600,-1,"<X-FC-FIELD 5600 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5600.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4620.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5610,-1,"<X-FC-FIELD 5610 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5610.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4606.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5603,-1,"<X-FC-FIELD 5603 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5603.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4622.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5611,-1,"<X-FC-FIELD 5611 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5611.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4608.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5604,-1,"<X-FC-FIELD 5604 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5604.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td colspan="2"><hr/></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4610.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5605,-1,"<X-FC-FIELD 5605 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5605.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4602.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5601,-1,"<X-FC-FIELD 5601 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5601.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4612.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5606,-1,"<X-FC-FIELD 5606 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5606.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4618.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5609,-1,"<X-FC-FIELD 5609 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5609.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4614.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5607,-1,"<X-FC-FIELD 5607 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5607.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td colspan="2"></td>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4616.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5608,-1,"<X-FC-FIELD 5608 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5608.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        </table></td>
        <td></td>
</tr>
<tr>
        <td colspan="3" style="height:5px;"></td>
</tr>
<tr>
        <td></td>
        <td class="gtb"><X-FC-FIELD FORM.5002.25 STRING></td>
        <td></td>
</tr>
<tr>
        <td></td>
        <td><table cellpadding="2" cellspacing="0" border="0" summary="">
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4650.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5650=STRING" size="30" value="<X-FC-FIELD 5650 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td rowspan="11"><div style="width:20px;"></div></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5651,-1,<X-FC-FIELD 5651 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5651.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5651.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5651.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5651.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5651.27 ESCAPED>","<X-FC-FIELD FORM.5651.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4651.9 STRING></td>
                <td rowspan="11"><div style="width:20px;"></div></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5652,-1,"<X-FC-FIELD 5652 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5652.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4655.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5655=STRING" size="30" value="<X-FC-FIELD 5655 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5656,-1,<X-FC-FIELD 5656 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5656.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5656.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5656.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5656.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5656.27 ESCAPED>","<X-FC-FIELD FORM.5656.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4656.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5657,-1,"<X-FC-FIELD 5657 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5657.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4665.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5665=STRING" size="30" value="<X-FC-FIELD 5665 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5660,-1,<X-FC-FIELD 5660 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5660.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5660.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5660.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5660.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5660.27 ESCAPED>","<X-FC-FIELD FORM.5660.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4666.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5667,-1,"<X-FC-FIELD 5667 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5667.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4660.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5660=STRING" size="30" value="<X-FC-FIELD 5660 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5661,-1,<X-FC-FIELD 5661 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5661.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5661.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5661.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5661.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5661.27 ESCAPED>","<X-FC-FIELD FORM.5661.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4661.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5662,-1,"<X-FC-FIELD 5662 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5662.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4690.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5690=STRING" size="30" value="<X-FC-FIELD 5690 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5691,-1,<X-FC-FIELD 5691 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5691.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5691.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5691.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5691.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5691.27 ESCAPED>","<X-FC-FIELD FORM.5691.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4691.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5692,-1,"<X-FC-FIELD 5692 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5692.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4675.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5675=STRING" size="30" value="<X-FC-FIELD 5675 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5676,-1,<X-FC-FIELD 5676 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5676.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5676.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5676.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5676.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5676.27 ESCAPED>","<X-FC-FIELD FORM.5676.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4676.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5677,-1,"<X-FC-FIELD 5677 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5677.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4670.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5670=STRING" size="30" value="<X-FC-FIELD 5670 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5671,-1,<X-FC-FIELD 5671 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5671.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5671.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5671.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5671.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5671.27 ESCAPED>","<X-FC-FIELD FORM.5671.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4671.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5672,-1,"<X-FC-FIELD 5672 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5672.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4685.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5685=STRING" size="30" value="<X-FC-FIELD 5685 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5686,-1,<X-FC-FIELD 5686 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5686.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5686.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5686.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5686.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5686.27 ESCAPED>","<X-FC-FIELD FORM.5686.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4686.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5687,-1,"<X-FC-FIELD 5687 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5687.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4695.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5695=STRING" size="30" value="<X-FC-FIELD 5695 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5696,-1,<X-FC-FIELD 5696 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5696.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5696.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5696.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5696.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5696.27 ESCAPED>","<X-FC-FIELD FORM.5696.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4696.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5697,-1,"<X-FC-FIELD 5697 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5697.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4645.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5645=STRING" size="30" value="<X-FC-FIELD 5645 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5646,-1,<X-FC-FIELD 5646 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5646.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5646.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5646.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5646.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5646.27 ESCAPED>","<X-FC-FIELD FORM.5646.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4646.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5647,-1,"<X-FC-FIELD 5647 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5647.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4680.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5680=STRING" size="30" value="<X-FC-FIELD 5680 DEFAULT="Geneva,Arial,Sans-Serif" STRING>"/></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DNF(5681,-1,<X-FC-FIELD 5681 DEFAULT=PROP.11 NUMBER>,10,<X-FC-FIELD FORM.5681.21 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5681.22 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5681.23 DEFAULT=0 NUMBER>,<X-FC-FIELD FORM.5681.20 DEFAULT=0 NUMBER>,"<X-FC-FIELD FORM.5681.27 ESCAPED>","<X-FC-FIELD FORM.5681.10 ESCAPED>");
//-->
<X-FC-WHITESPACE STRIP></script>
</td>
                <td class="gt" nowrap="nowrap"><X-FC-FIELD FORM.4681.9 STRING></td>
                <td><script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
DCP(5682,-1,"<X-FC-FIELD 5682 DEFAULT=PROP.11 RGB,X>",<X-FC-FIELD FORM.5682.12 DEFAULT=153 NUMBER>,"dT(0);");
//-->
<X-FC-WHITESPACE STRIP></script></td>
        </tr>
        </table></td>
        <td></td>
</tr>
<tr>
        <td colspan="3" style="height:5px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:1px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
        <td class="secTitle" bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" nowrap="nowrap"><X-FC-FIELD FORM.4103.25 STRING></td>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
</tr>
<tr>
        <td colspan="3" style="height:3px;"></td>
</tr>
<tr>
        <td></td>
        <td><table cellpadding="2" cellspacing="0" border="0" summary="">
        <tr>
                <td></td>
                <td class="gtu" nowrap="nowrap"><X-FC-FIELD FORM.4701.9 STRING></td>
                <td class="gtu" nowrap="nowrap"><X-FC-FIELD FORM.4702.9 STRING></td>
                <td class="gtu" nowrap="nowrap"><X-FC-FIELD FORM.4703.9 STRING></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4704.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5700=STRING" size="30" value="<X-FC-FIELD 5700 DEFAULT=PROP.9 STRING>"/></td>
                <td colspan="2"></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4706.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5704=STRING" size="30" value="<X-FC-FIELD 5704 DEFAULT=PROP.9 STRING>"/></td>
                <td><input class="forms" type="text" name="FieldID:5705=STRING" size="30" value="<X-FC-FIELD 5705 DEFAULT=PROP.9 STRING>"/></td>
                <td><input class="forms" type="text" name="FieldID:5706=STRING" size="30" value="<X-FC-FIELD 5706 DEFAULT=PROP.9 STRING>"/></td>
        </tr>
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.4707.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5707=STRING" size="30" value="<X-FC-FIELD 5707 DEFAULT=PROP.9 STRING>"/></td>
                <td><input class="forms" type="text" name="FieldID:5708=STRING" size="30" value="<X-FC-FIELD 5708 DEFAULT=PROP.9 STRING>"/></td>
                <td><input class="forms" type="text" name="FieldID:5709=STRING" size="30" value="<X-FC-FIELD 5709 DEFAULT=PROP.9 STRING>"/></td>
        </tr>
        </table></td>
        <td></td>
</tr>
<tr>
        <td colspan="3" style="height:5px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:1px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
        <td class="secTitle" bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" nowrap="nowrap"><X-FC-FIELD FORM.5003.25 STRING></td>
        <td bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>"></td>
</tr>
<tr>
        <td colspan="3" style="height:3px;"></td>
</tr>
<tr>
        <td></td>
        <td><table cellpadding="2" cellspacing="0" border="0" summary="">
        <tr>
                <td class="gt" align="right" nowrap="nowrap"><X-FC-FIELD FORM.1007.9 STRING></td>
                <td><input class="forms" type="text" name="FieldID:5800=STRING" size="30" value="<X-FC-FIELD 5800 DEFAULT=PROP.9 STRING>"/></td>
        </tr>
        <tr>
                <td class="gt" align="right" valign="top" nowrap="nowrap"><X-FC-FIELD FORM.5802.9 STRING></td>
                <td><textarea class="forms" name="FieldID:5801=TEXT" rows="8" cols="60"><X-FC-FIELD 5801 DEFAULT=PROP.9 MLSTRING></textarea>
        </tr>
        </table></td>
        <td></td>
</tr>
<tr>
        <td colspan="3" style="height:3px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:2px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"></td>
        <td class="title" bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" align="center" nowrap="nowrap">
<!--#if expr="<X-FC-ITEM DATA[ObjType] IsMsg> && <X-FC-ITEM DATA[Status] Outgoing> && (<X-FC-ITEM DATA[Status] Sent> == 0)"-->
                <input id="MB:SB" class="button" type="submit" value=" <X-FC-FIELD LANG.CMD.152.0 STRING> " onclick="return sdf();"<!--#if expr="(<X-FC-RECIPIENT-COUNT TO> + <X-FC-RECIPIENT-COUNT CC> + <X-FC-RECIPIENT-COUNT BCC>)==0"--> disabled="disabled"<!--#endif-->/>
                &nbsp;
<!--#endif-->
                <input class="button" type="submit" value=" <X-FC-FIELD LANG.CMD.5.0 STRING> " onclick="return svf();"/>
                &nbsp;
                <input class="button" type="reset" value=" <X-FC-FIELD LANG.CMD.7.0 STRING> " onclick="return rsf();"/>
        </td>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" colspan="3" style="height:2px;"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB>" colspan="3" style="height:1px;"></td>
</tr>
</table>
</form>
<!--#if expr="$NavPosition==2"-->
        </td>
        <!--#if expr="<X-FC-URL-PARAMETER Envelope NUMBER> == 0"-->
        <td class="tbtext">&nbsp;</td>
        <!--#endif-->
</tr>
</table>
<!--#elif expr="$NavPosition==1"-->
        <X-FC-WHITESPACE RETAIN>
<!--#include virtual="/.Templates/Toolbars/NavForm.inc"-->
<X-FC-WHITESPACE STRIP>
<!--#elif expr="$NavPosition==4"-->
<X-FC-WHITESPACE RETAIN>
<!--#include virtual="/.Templates/Toolbars/NavFormText.inc"-->
<X-FC-WHITESPACE STRIP>
<!--#endif-->
<form name="ResetForm" action="<X-FC-OBJURL SLASH>__FormSave?Clear=0&amp;TargetURL=<X-FC-OBJURL><!--#echo expr="@mlescape($PT)"-->"<!--#echo var="TARGET"--> method="post">
<input type="hidden" name="VKey" value="<X-FC-SESSION VKEY>"/>
<input type="hidden" name="Close" value="1"/>
</form>
<!--#if expr="<X-FC-FIELD PREFS.5521 DEFAULT=LANG.49.5521.85 NUMBER> && !$ENVELOPE"-->
        <X-FC-WHITESPACE RETAIN>
<!--#include virtual="/.Templates/Toolbars/Footer.inc"-->
<X-FC-WHITESPACE STRIP>
<!--#endif-->
<!--#if expr="$SRVR_ERR_FCPCODE"-->
<script type="text/javascript"><X-FC-WHITESPACE RETAIN>
<!--
alert("<X-FC-FIELD LANG.ERR.`$SRVR_ERR_FCPCODE` ESCAPED> [<!--#echo var="SRVR_ERR_FCPCODE"-->]");
//-->
<X-FC-WHITESPACE STRIP></script>
<!--#endif-->
<img name="TOUCHME" src="<X-FC-OBJURL SLASH>__Touch?TouchCount=0" alt="" width="1" height="1" border="0" style="display:none;"/>
</body>
<X-FC-WHITESPACE RETAIN>
<!--*E49 BSS=<X-FC-REQUEST-TIME BODY.SETUPSTART> BSE=<X-FC-REQUEST-TIME BODY.SETUPEND> BSD=<X-FC-REQUEST-TIME BODY.STYLEDONE> B=<X-FC-REQUEST-TIME BODY> D=<X-FC-REQUEST-TIME>-->
</html>