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<head>
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<title><X-FC-ITEM DATA[Name]></title>
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<td><img src="/Icons/0" width="12" height="12" border="0"></td>
<td class="p" nowrap> <X-FC-FIELD LANG.71.4100.25 STRING></td>
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<tr>
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<tr>
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<td class="gt" align="right" nowrap><label for="F2"><X-FC-FIELD LANG.71.4006.9 STRING></label></td>
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<tr>
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<tr>
<td class="p" nowrap> <X-FC-FIELD LANG.71.4101.25 STRING></td>
<td width="100%"> </td>
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<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="2" cellspacing="0" border="0">
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<tr>
<td rowspan="7"> </td>
<td class="gt" colspan="2" nowrap><X-FC-FIELD LANG.71.1018.9 STRING>:</td>
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<tr>
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<tr>
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<tr>
<td colspan="2" class="gt" nowrap><X-FC-FIELD LANG.71.8215.9 STRING></td>
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<tr>
<td colspan="2"><table cellpadding="0" cellspacing="0" border="0">
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</table></td>
</tr>
<tr>
<td colspan="2"><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
<tr>
<td colspan="2"><table cellpadding="3" cellspacing="0" border="1">
<tr>
<td class="tHead" bgcolor="<X-FC-FIELD PREFS.5605 DEFAULT=LANG.49.5605.11 RGB>" nowrap><label for="F11"><X-FC-FIELD LANG.71.1049.9 STRING></label></b></td>
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<tr>
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<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="5" border="0"></td>
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</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>
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</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 class="p"> <X-FC-FIELD LANG.71.4103.25 STRING></td>
<td width="100%"> </td>
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</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="4"><img src="/Icons/0" width="1" height="3" border="0"></td>
</tr>
<tr>
<td rowspan="5"> </td>
<td colspan="2" class="gt" nowrap><X-FC-FIELD LANG.71.1030.9 STRING>:</td>
<td rowspan="5" width="100%"> </td>
</tr>
<tr>
<td colspan="2"><table cellpadding="0" cellspacing="0" border="0">
<tr>
<td><input name="FieldID:1030=LONG" type="radio" id="F13A" value="0"<!--#if expr="!<X-FC-FIELD 1030 DEFAULT=PROP.85 NUMBER>"--> checked<!--#endif-->></td>
<td class="gt" nowrap><label for="F13A"><X-FC-FIELD LANG.71.1106.9 STRING></label></td>
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<tr>
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<tr>
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<tr>
<td colspan="2" class="gt" nowrap><X-FC-FIELD LANG.71.3515.9 STRING>:</td>
</tr>
<tr>
<td colspan="2"><table cellpadding="0" cellspacing="0" border="0">
<tr>
<td><input name="FieldID:3515=LONG" type="radio" id="F15A" value="0"<!--#if expr="!<X-FC-FIELD 3515 DEFAULT=0 NUMBER>"--> checked<!--#endif-->></td>
<td class="gt" nowrap><label for="F15A"><X-FC-FIELD LANG.71.3307.9 STRING></label></td>
</tr>
<tr>
<td><input name="FieldID:3515=LONG" type="radio" id="F15B" value="1"<!--#if expr="<X-FC-FIELD 3515 DEFAULT=0 NUMBER>"--> checked<!--#endif-->></td>
<td class="gt" nowrap><label for="F15B"><X-FC-FIELD LANG.71.3306.9 STRING></label></td>
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</tr>
<tr>
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<td colspan="4"><img src="/Icons/0" width="1" height="2" border="0"></td>
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<tr>
<td> </td>
<td><a href="JavaScript://" onClick="TS(4101);return false;"><img src="/Icons/15030" width="12" height="12" border="0"></a></td>
<td nowrap> <a class="p" href="JavaScript://" onClick="TS(4101);return false;"><X-FC-FIELD LANG.7536.11 STRING></a></td>
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<tr>
<td colspan="4"><img src="/Icons/0" width="1" height="3" border="0"></td>
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<table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
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<td><input type="submit" class="button" value=" <X-FC-FIELD LANG.CMD.152.0 STRING> " onClick="this.form.action='<X-FC-OBJURL
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<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>
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<script language="JavaScript">
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