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<html>
<head>
<title><X-FC-FIELD LANG.172.0.25 STRING></title>
<style type="text/css">
<!--#include virtual="/.templates/GlobalStyles.inc"-->
</style>
</head>
<body bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB>" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" scroll="no" onUnload="parent.ow=null;">
<form action="JavaScript://" method="post" enctype="mutlipart/form-data" onSubmit="self.close();">
<table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" cellpadding="2" cellspacing="0" border="0">
<tr>
        <td>&nbsp;</td>
        <td id="title1" nowrap><X-FC-FIELD LANG.172.0.25 STRING></td>
        <td width="100%">&nbsp;</td>
        <td><input type="reset" value="<X-FC-FIELD LANG.2.4 STRING>" onClick="self.close();" style="width:75px;"></td>
        <td>&nbsp;</td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" width="100%" cellpadding="2" cellspacing="0" border="0">
<tr>
        <td rowspan="5">&nbsp;</td>
        <td colspan="2"><img src="/Icons/0" width="1" height="5" border="0"></td>
        <td rowspan="5" width="100%">&nbsp;</td>
</tr>
<tr>
        <td class="plain" nowrap><X-FC-FIELD LANG.172.35.9 STRING></td>
        <td class="plain" nowrap><!--#set var="DEFPRIO" value="<X-FC-URL-PARAMETER DefPrio NUMBER>"--><X-FC-FIELD 36 DEFAULT=`$DEFPRIO` LIST LANG.172.36.10></td>
</tr>
<tr>
        <td class="plain" nowrap><X-FC-FIELD LANG.172.33.9 STRING></td>
        <td class="plain" nowrap><!--#set var="DEFSENS" value="<X-FC-URL-PARAMETER DefSend NUMBER>"--><X-FC-FIELD 34 DEFAULT=`$DEFSENS` LIST LANG.172.34.10></td>
</tr>
<tr>
        <td class="plain" valign="top" nowrap><X-FC-FIELD LANG.172.1000.9 STRING></td>
        <td><table cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td><!--#if expr="<X-FC-FIELD 40 DEFAULT=0 NUMBER>"--><img src="/Icons/15001" width="10" height="10" border="1"><!--#else--><img src="/Icons/0" width="10" height="10" border="1"><!--#endif--></td>
                <td class="plain" nowrap><X-FC-FIELD LANG.172.40.9 STRING></td>
        </tr>
        <tr>
                <td><!--#if expr="<X-FC-FIELD 39 DEFAULT=0 NUMBER>"--><img src="/Icons/15001" width="10" height="10" border="1"><!--#else--><img src="/Icons/0" width="10" height="10" border="1"><!--#endif--></td>
                <td class="plain" nowrap><X-FC-FIELD LANG.172.39.9 STRING></td>
        </tr>
        <tr>
                <td><!--#if expr="<X-FC-FIELD 41 DEFAULT=0 NUMBER>"--><img src="/Icons/15001" width="10" height="10" border="1"><!--#else--><img src="/Icons/0" width="10" height="10" border="1"><!--#endif--></td>
                <td class="plain" nowrap><X-FC-FIELD LANG.172.41.9 STRING></td>
        </tr>
        </table></td>
</tr>
<tr>
        <td>&nbsp;</td>
        <td><table cellpadding="2" cellspacing="0" border="0">
        <tr>
                <td><!--#if expr="<X-FC-FIELD 42 DEFAULT=0 NUMBER>"--><img src="/Icons/15001" width="10" height="10" border="1"><!--#else--><img src="/Icons/0" width="10" height="10" border="1"><!--#endif--></td>
                <td class="plain" nowrap><X-FC-FIELD LANG.172.42.9 STRING></td>
        </tr>
        </table></td>
</tr>
</table>
<table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" width="100%" cellpadding="0" cellspacing="0" border="0">
<tr>
        <td><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
</table>
</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-->
</body>
</html>