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<!--125-->
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=<X-FC-ITEM DATA[Charset]>">
<title><X-FC-FIELD 1202 STRING>&nbsp;<X-FC-FIELD 1203 STRING>&nbsp;<X-FC-FIELD 1204 STRING></title>
<style type="text/css">
<!--
<!--#include virtual="/.templates/GlobalStyles.inc"-->
-->
</style>
</head>
<body bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT="#FFFFFF" RGB>" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0">
<form action="<X-FC-OBJURL SLASH>FormEdit"><!--#set var="NavPosition" value="<X-FC-FIELD PREFS.5513 DEFAULT=2 NUMBER>"-->
<!--#if expr="$NavPosition==2"--><!--#set var="TABLEWIDTH" value="100%"--><!--#else--><!--#set var="TABLEWIDTH" value="<X-FC-FIELD PREFS.5720 DEFAULT="100%" STRING>"--><!--#endif-->
<!--#if expr="!$NavPosition==2 && <X-FC-FIELD PREFS.5707 LENGTH>"-->
<table width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
        <td align="center"><a href="<X-FC-FIELD PREFS.5709 STRING>"><img src="/Images/<X-FC-FIELD PREFS.5707 STRING>" alt="<X-FC-FIELD PREFS.5708 STRING>" vspace="10" border="0"></a></td>
</tr>
</table><!--#endif-->
<!--#if expr="$NavPosition==0"--><!--#include virtual="/.templates/toolbars/NavForm.inc" --><!--#elif expr="$NavPosition==2"--><!--#include virtual="/.templates/toolbars/NavFormSide.inc"--><!--#elif expr="$NavPosition==3"--><!--#include virtual="/.templates/toolbars/NavFormText.inc" --><!--#endif-->
<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT="#C0C0C0" RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT="#FFFFFF" RGB>"><img src="/images/pixel.gif" width="1" height="1" border="0"></td>
</tr>
<tr>
        <td><table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>" cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td>&nbsp;</td>
                <td id="title1" nowrap><X-FC-FIELD 1202 STRING>&nbsp;<X-FC-FIELD 1203 STRING>&nbsp;<X-FC-FIELD 1204 STRING></td>
                <td  width="100%">&nbsp;</td><!--#if expr="!$ENABLED && <X-FC-PERMISSIONS Edit> || <X-FC-PERMISSIONS Write> && @indexOf('<X-FC-OBJURL>', '/FormEdit')==-1"-->
                <td><input type="submit" value="<X-FC-FIELD LANG.7530.3 STRING>"></td><!--#endif-->
                <td>&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>" cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><a href="<X-FC-OBJURL SLASH>OpenIndex3"><img src="/Icons/11347" alt="<X-FC-FIELD LANG.125.1026.9 STRING>" width="16" height="16" border="0"></a></td>
                        <td nowrap><a id="heading2" href="<X-FC-OBJURL SLASH>OpenIndex3"><X-FC-FIELD LANG.125.1026.9 STRING></a></td>
                </tr>
                </table></td>
                <td>&nbsp;</td>
                <td><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><a href="<X-FC-OBJURL SLASH>OpenIndex2"><img src="/Icons/11149" alt="<X-FC-FIELD LANG.125.1032.9 STRING>" width="16" height="16" border="0"></a></td>
                        <td nowrap><a id="heading2" href="<X-FC-OBJURL SLASH>OpenIndex2"><X-FC-FIELD LANG.125.1032.9 STRING></a></td>
                </tr>
                </table></td>
                <td>&nbsp;</td>
                <td><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><a href="<X-FC-OBJURL SLASH>OpenIndex0"><img src="/Icons/11150" alt="<X-FC-FIELD LANG.125.1033.9 STRING>" width="16" height="16" border="0"></a></td>
                        <td nowrap><a id="heading2" href="<X-FC-OBJURL SLASH>OpenIndex0"><X-FC-FIELD LANG.125.1033.9 STRING></a></td>
                </tr>
                </table></td>
                <td>&nbsp;</td>
                <td><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><a href="<X-FC-OBJURL SLASH>OpenIndex1"><img src="/Icons/11196" alt="<X-FC-FIELD LANG.125.1036.9 STRING>" width="16" height="16" border="0"></a></td>
                        <td nowrap><a id="heading2" href="<X-FC-OBJURL SLASH>OpenIndex1"><X-FC-FIELD LANG.125.1036.9 STRING></a></td>
                </tr>
                </table></td>
                <td width="100%">&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT="#999999" RGB>" cellpadding="0" cellspacing="0" border="0">
        <tr>
                <td nowrap><font id="heading1" size="4">&nbsp;<X-FC-FIELD LANG.125.4100.25 STRING></font></td>
                <td width="100%">&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td><table cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td rowspan="12">&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1002.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1201 STRING>&nbsp;</td>
                <td rowspan="3">&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1021.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1217 PASSWORD></td>
                <td rowspan="12">&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1004.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1202 STRING>&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1008.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1203 STRING>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1006.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1204 STRING>&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1226.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1223 LIST LANG.125.1223.10></td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1003.9 STRING></td>
                <td id="plain" colspan="4" nowrap><X-FC-FIELD 1252 STRING>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1051.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1235 DATE,"%Y/%m/%d %I:%M %p"></td>
                <td rowspan="4">&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1052.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1236 STRING>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1010.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1230 DATE,"%Y/%m/%d %I:%M %p"></td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.2032.9 STRING></td>
                <td id="plain" nowrap><!--#if expr="<X-FC-FIELD 1500 DEFAULT=0 NUMBER>"--><X-FC-FIELD 1500 NUMBER><!--#else-->&nbsp;<!--#endif--></td>
        </tr>
        <tr>
                <td id="bold" valign="top" rowspan="3" nowrap><X-FC-FIELD LANG.125.1011.9 STRING></td>
                <td id="plain" rowspan="3"><X-FC-FIELD 1205 STRING>&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1013.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1206 STRING>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1014.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1207 STRING>&nbsp;</td>
        </tr>
        <tr>
                <td colspan="2">&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1070.9 STRING></td>
                <td id="plain" colspan="4" nowrap><X-FC-FIELD 8030 DEFAULT=0 LIST FORM></td>
        </tr>
        <tr>
                <td id="bold" valign="top" nowrap><X-FC-FIELD LANG.125.2006.9 STRING></td>
                <td id="plain" colspan="4"><X-FC-FIELD 1224 STRING>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1015.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1255 STRING>&nbsp;</td>
                <td>&nbsp;</td>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1016.9 STRING></td>
                <td id="plain" nowrap><X-FC-FIELD 1256 PASSWORD>&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="5" border="0"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>"><img src="/Images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT="#999999" RGB>" cellpadding="0" cellspacing="0" border="0">
        <tr>
                <td nowrap><font id="heading1" size="4">&nbsp;<X-FC-FIELD LANG.125.4101.25 STRING></font></td>
                <td width="100%">&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><table cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td>&nbsp;</td>
                <td valign="top"><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1020.9 STRING>" border="0"></td>
                        <td id="bold" nowrap><X-FC-FIELD LANG.125.1020.9 STRING></td>
                </tr><!--#set var="RECIPIENTNUM" value="-1"--><!--#while expr="++$RECIPIENTNUM < <X-FC-RECIPIENT-COUNT TO>"-->
                <tr>
                        <td><img src="/Icons/<X-FC-RECIPIENT-ICON TO $RECIPIENTNUM>" alt="<X-FC-RECIPIENT-NAME TO $RECIPIENTNUM>" width="12" height="12" border="0" hspace="3"></td>
                        <td id="plain" nowrap><X-FC-RECIPIENT-NAME TO $RECIPIENTNUM></td>
                </tr><!--#endwhile-->
                </table></td>
                <td>&nbsp;</td>
                <td id="plain" width="110"><X-FC-FIELD LANG.125.1023.9 STRING></td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>"><img src="/Images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT="#999999" RGB>" cellpadding="0" cellspacing="0" border="0">
        <tr>
                <td nowrap><font id="heading1" size="4">&nbsp;<X-FC-FIELD LANG.125.4102.25 STRING></font></td>
                <td width="100%">&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td><table cellpadding="0" cellspacing="0" border="0">
        <tr>
                <td rowspan="2">&nbsp;</td>
                <td id="plain" colspan="3"><X-FC-FIELD LANG.125.2003.9 STRING></td>
        </tr>
        <tr>
                <td valign="top"><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><table cellpadding="2" cellspacing="0" border="0">
                        <tr>
                                <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1024.9 STRING>" width="16" height="16" border="0"></td>
                                <td id="bold" nowrap><X-FC-FIELD LANG.125.1024.9 STRING></td>
                        </tr>
                        </table></td>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.1028.9 STRING></td>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.1029.9 STRING></td>
                </tr><!--#set var="FIELDS" value="2007,1210,1310;2008,1211,1311;2024,1238,1338;2026,1239,1339;1036,1237,1337;2031,1241,1341;2027,1243,1343;2022,1213,1313;1040,1233,1330;1041,1231,1331;2030,1245,1345"--><!--#while expr="$FIELDS"--><!--#set var="CURRENT" expr="@split($FIELDS,';')"--><!--#set var="LABEL" expr="@split($CURRENT,',')"--><!--#set var="SET" expr="@split($CURRENT,',')"-->
                <tr>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.`$LABEL`.9 STRING></td>
                        <td align="center"><!--#set var="VALUE" value="<X-FC-FIELD `$SET` DEFAULT=0 NUMBER>"--><img src="<!--#if expr="$VALUE==2"-->/Icons/15003<!--#elif expr="$VALUE==1"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                        <td align="center"><img src="<!--#if expr="<X-FC-FIELD `$CURRENT` DEFAULT=0 NUMBER>"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                </tr><!--#endwhile-->
                <tr>
                        <td colspan="4"><table cellpadding="2" cellspacing="0" border="0">
                        <tr>
                                <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1045.9 STRING>" width="16" height="16" border="0"></td>
                                <td id="bold" nowrap><X-FC-FIELD LANG.125.1045.9 STRING></td>
                        </tr>
                        </table></td>
                </tr><!--#set var="FIELDS" value="2009,1214,1314;1066,1261,1361;2010,1212,1312;1007,1254,1354"--><!--#while expr="$FIELDS"--><!--#set var="CURRENT" expr="@split($FIELDS,';')"--><!--#set var="LABEL" expr="@split($CURRENT,',')"--><!--#set var="SET" expr="@split($CURRENT,',')"-->
                <tr>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.`$LABEL`.9 STRING></td>
                        <td align="center"><!--#set var="VALUE" value="<X-FC-FIELD `$SET` DEFAULT=0 NUMBER>"--><img src="<!--#if expr="$VALUE==2"-->/Icons/15003<!--#elif expr="$VALUE==1"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                        <td align="center"><img src="<!--#if expr="<X-FC-FIELD `$CURRENT` DEFAULT=0 NUMBER>"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                </tr><!--#endwhile-->
                </table></td>
                <td>&nbsp;</td>
                <td valign="top"><table cellpadding="2" cellspacing="0" border="0">
                <tr>
                        <td><table cellpadding="2" cellspacing="0" border="0">
                        <tr>
                                <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1053.9 STRING>" width="16" height="16" border="0"></td>
                                <td id="bold" nowrap><X-FC-FIELD LANG.125.1053.9 STRING></td>
                        </tr>
                        </table></td>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.1030.9 STRING></td>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.1031.9 STRING></td>
                </tr><!--#set var="FIELDS" value="1042,1232,1332;1025,1228,1332;2023,1242,1342;1034,1234,1334"--><!--#while expr="$FIELDS"--><!--#set var="CURRENT" expr="@split($FIELDS,';')"--><!--#set var="LABEL" expr="@split($CURRENT,',')"--><!--#set var="SET" expr="@split($CURRENT,',')"-->
                <tr>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.`$LABEL`.9 STRING></td>
                        <td align="center"><!--#set var="VALUE" value="<X-FC-FIELD `$SET` DEFAULT=0 NUMBER>"--><img src="<!--#if expr="$VALUE==2"-->/Icons/15003<!--#elif expr="$VALUE==1"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                        <td align="center"><img src="<!--#if expr="<X-FC-FIELD `$CURRENT` DEFAULT=0 NUMBER>"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                </tr><!--#endwhile-->
                <tr>
                        <td colspan="4"><table cellpadding="2" cellspacing="0" border="0">
                        <tr>
                                <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1054.9 STRING>" width="16" height="16" border="0"></td>
                                <td id="bold" nowrap><X-FC-FIELD LANG.125.1054.9 STRING></td>
                        </tr>
                        </table></td>
                </tr><!--#set var="FIELDS" value="1049,1245,1345;1060,1246,1346;1061,1250,1350;1047,1227,1327"--><!--#while expr="$FIELDS"--><!--#set var="CURRENT" expr="@split($FIELDS,';')"--><!--#set var="LABEL" expr="@split($CURRENT,',')"--><!--#set var="SET" expr="@split($CURRENT,',')"-->
                <tr>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.`$LABEL`.9 STRING></td>
                        <td align="center"><!--#set var="VALUE" value="<X-FC-FIELD `$SET` DEFAULT=0 NUMBER>"--><img src="<!--#if expr="$VALUE==2"-->/Icons/15003<!--#elif expr="$VALUE==1"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                        <td align="center"><img src="<!--#if expr="<X-FC-FIELD `$CURRENT` DEFAULT=0 NUMBER>"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                </tr><!--#endwhile-->
                <tr>
                        <td colspan="4"><table cellpadding="2" cellspacing="0" border="0">
                        <tr>
                                <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1055.9 STRING>" width="16" height="16" border="0"></td>
                                <td id="bold" nowrap><X-FC-FIELD LANG.125.1055.9 STRING></td>
                        </tr>
                        </table></td>
                </tr><!--#set var="FIELDS" value="2012,1216,1316;1012,1260,1360;2011,1215,1315;1001,1251,1351;1067,1262,1362"--><!--#while expr="$FIELDS"--><!--#set var="CURRENT" expr="@split($FIELDS,';')"--><!--#set var="LABEL" expr="@split($CURRENT,',')"--><!--#set var="SET" expr="@split($CURRENT,',')"-->
                <tr>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.`$LABEL`.9 STRING></td>
                        <td align="center"><!--#set var="VALUE" value="<X-FC-FIELD `$SET` DEFAULT=0 NUMBER>"--><img src="<!--#if expr="$VALUE==2"-->/Icons/15003<!--#elif expr="$VALUE==1"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                        <td align="center"><img src="<!--#if expr="<X-FC-FIELD `$CURRENT` DEFAULT=0 NUMBER>"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                </tr><!--#endwhile-->
                <tr>
                        <td colspan="4"><table cellpadding="2" cellspacing="0" border="0">
                        <tr>
                                <td><img src="/Icons/2020" alt="<X-FC-FIELD LANG.125.1048.9 STRING>" width="16" height="16" border="0"></td>
                                <td id="bold" nowrap><X-FC-FIELD LANG.125.1048.9 STRING></td>
                        </tr>
                        </table></td>
                </tr><!--#set var="FIELDS" value="1027,1229,1329;1075,1270,1370;2029,1244,1344;2028,1240,1340"--><!--#while expr="$FIELDS"--><!--#set var="CURRENT" expr="@split($FIELDS,';')"--><!--#set var="LABEL" expr="@split($CURRENT,',')"--><!--#set var="SET" expr="@split($CURRENT,',')"-->
                <tr>
                        <td id="plain" nowrap><X-FC-FIELD LANG.125.`$LABEL`.9 STRING></td>
                        <td align="center"><!--#set var="VALUE" value="<X-FC-FIELD `$SET` DEFAULT=0 NUMBER>"--><img src="<!--#if expr="$VALUE==2"-->/Icons/15003<!--#elif expr="$VALUE==1"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                        <td align="center"><img src="<!--#if expr="<X-FC-FIELD `$CURRENT` DEFAULT=0 NUMBER>"-->/Icons/15001<!--#else-->/Images/pixel.gif<!--#endif-->" width="10" height="10" border="1"></td>
                </tr><!--#endwhile-->
                </table></td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>"><img src="/Images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
        <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT="#999999" RGB>" cellpadding="0" cellspacing="0" border="0">
        <tr>
                <td nowrap><font id="heading1" size="4">&nbsp;<X-FC-FIELD LANG.125.4103.25 STRING></font></td>
                <td width="100%">&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="5" border="0"></td>
</tr>
<tr>
        <td><table cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td rowspan="7">&nbsp;</td>
                <td>&nbsp;</td>
                <td id="plain" align="center" nowrap><X-FC-FIELD LANG.125.1030.9 STRING></td>
                <td rowspan="2">&nbsp;</td>
                <td id="plain" align="center" nowrap><X-FC-FIELD LANG.125.1031.9 STRING></td>
                <td>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.2017.9 STRING></td>
                <td id="plain" align="right" nowrap><!--#if expr="<X-FC-FIELD 1220 DEFAULT=86400 NUMBER> != 0 && <X-FC-FIELD 1220 DEFAULT=86400 NUMBER> != 86400"--><!--#echo expr="<X-FC-FIELD 1220 NUMBER> / 60"--><!--#else--><X-FC-FIELD 1220 DEFAULT=86400 LIST FORM><!--#endif--></td>
                <td id="plain" align="right" nowrap><!--#if expr="<X-FC-FIELD 1320 DEFAULT=86400 NUMBER> != 2147483647 && <X-FC-FIELD 1320 DEFAULT=86400 NUMBER> != 86400"--><!--#echo expr="<X-FC-FIELD 1320 NUMBER> / 60"--><!--#else--><X-FC-FIELD 1320 DEFAULT=86400 LIST FORM><!--#endif--></td>
                <td id="plain" nowrap><X-FC-FIELD LANG.125.2018.9 STRING></td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1022.9 STRING></td>
                <td id="plain" colspan="3" nowrap><X-FC-FIELD 1259 DURATION></td>
                <td>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.2019.9 STRING></td>
                <td id="plain" align="right" nowrap><!--#if expr="<X-FC-FIELD 1222 DEFAULT=0 NUMBER>"--><!--#echo expr="<X-FC-FIELD 1222 NUMBER> / 60"--><!--#else--><X-FC-FIELD 1222 DEFAULT=0 LIST FORM><!--#endif--></td>
                <td rowspan="5">&nbsp;</td>
                <td id="plain" align="right" nowrap><!--#if expr="<X-FC-FIELD 1322 DEFAULT=0 NUMBER>"--><!--#echo expr="<X-FC-FIELD 1322 NUMBER> / 60"--><!--#else--><X-FC-FIELD 1322 DEFAULT=0 LIST FORM><!--#endif--></td>
                <td id="plain" nowrap><X-FC-FIELD LANG.125.2020.9 STRING></td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1017.9 STRING></td>
                <td id="plain" align="right" nowrap><!--#if expr="<X-FC-FIELD 1257 DEFAULT=0 NUMBER>"--><X-FC-FIELD 1257 DEFAULT=0 NUMBER>k<!--#else--><X-FC-FIELD 1257 DEFAULT=0 LIST FORM><!--#endif--></td>
                <td id="plain" align="right" nowrap><!--#if expr="<X-FC-FIELD 1357 DEFAULT=0 NUMBER>"--><X-FC-FIELD 1357 DEFAULT=0 NUMBER>k<!--#else--><X-FC-FIELD 1357 DEFAULT=0 LIST FORM><!--#endif--></td>
                <td>&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.1018.9 STRING></td>
                <td id="plain" align="right" nowrap><X-FC-FIELD 1258 DEFAULT=0 LIST LANG.125.1258.10>k</td>
                <td colspan="2">&nbsp;</td>
        </tr>
        <tr>
                <td id="bold" nowrap><X-FC-FIELD LANG.125.2016.9 STRING></td>
                <td id="plain" align="right" nowrap><X-FC-FIELD 1219 DEFAULT=0 LIST FORM></td>
                <td id="plain" align="right" nowrap><X-FC-FIELD 1319 DEFAULT=0 LIST FORM></td>
                <td>&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td><table cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td rowspan="2">&nbsp;</td>
                <td id="bold"  nowrap><X-FC-FIELD LANG.125.1005.9 STRING></td>
                <td rowspan="2">&nbsp;</td>
                <td>&nbsp;</td>
        </tr>
        <tr>
                <td valign="top"><table cellpadding="2" cellspacing="0" border="0"><!--#set var="RECIPIENTNUM" value="-1"--><!--#while expr="++$RECIPIENTNUM < <X-FC-RECIPIENT-COUNT CC>"-->
                <tr>
                        <td><img src="/Icons/<X-FC-RECIPIENT-ICON CC $RECIPIENTNUM>" alt="<X-FC-RECIPIENT-NAME CC $RECIPIENTNUM>" width="12" height="12" border="0" hspace="3"></td>
                        <td id="plain" nowrap><X-FC-RECIPIENT-NAME CC $RECIPIENTNUM></td>
                </tr><!--#endwhile-->
                </table></td>
                <td>&nbsp;</td>
                <td id="plain" width="140" valign="top"><X-FC-FIELD LANG.125.1068.9 STRING></td>
        </tr>
        </table></td>
<tr>
        <td><img src="/images/pixel.gif" width="1" height="5" border="0"></td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
        <td><table cellpadding="2" cellspacing="0" border="0" align="center">
        <tr>
                <td>&nbsp;</td><!--#if expr="!$ENABLED && <X-FC-PERMISSIONS Edit> || <X-FC-PERMISSIONS Write> && @indexOf('<X-FC-OBJURL>', '/FormEdit')==-1"-->
                <td><input type="submit" value="<X-FC-FIELD LANG.7530.3 STRING>"></td><!--#endif-->
                <td>&nbsp;</td>
        </tr>
        </table></td>
</tr>
<tr>
        <td bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT="#FFFFFF" RGB>"><img src="/images/pixel.gif" width="1" height="1" border="0"></td>
</tr>
</table><!--#if expr="$NavPosition==2"-->
        </td>
</tr>
</table><!--#elif expr="$NavPosition==1"-->
<!--#include virtual="/.templates/toolbars/NavForm.inc"--><!--#elif expr="$NavPosition==4"-->
<!--#include virtual="/.templates/toolbars/NavFormText.inc"--><!--#endif-->
</form>
</body>
</html>