<table width="500" border="0" cellspacing="0" cellpadding="2">
  <tr>
    <td class="frmText11">{tmpl_var name='company_name_txt'}:</td>
    <td class="frmText11"><input name="company_name" type="text" class="text" value="{tmpl_var name='company_name'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='contact_name_txt'}:</td>
    <td class="frmText11"><input name="contact_name" type="text" class="text" value="{tmpl_var name='contact_name'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='username_txt'}:</td>
    <td class="frmText11"><input name="username" type="text" class="text" value="{tmpl_var name='username'}" size="30" maxlength="50"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='password_txt'}:</td>
    <td class="frmText11"><input name="password" type="password" class="text" value="{tmpl_var name='password'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='language_txt'}:</td>
    <td class="frmText11">
		<select name="language" class="text">
			{tmpl_var name='language'}
		</select>
	</td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='usertheme_txt'}:</td>
    <td class="frmText11">
		<select name="usertheme" class="text">
			{tmpl_var name='usertheme'}
		</select>
	</td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='street_txt'}:</td>
    <td class="frmText11"><input name="street" type="text" class="text" value="{tmpl_var name='street'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='zip_txt'}:</td>
    <td class="frmText11"><input name="zip" type="text" class="text" value="{tmpl_var name='zip'}" size="10" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='city_txt'}:</td>
    <td class="frmText11"><input name="city" type="text" class="text" value="{tmpl_var name='city'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='state_txt'}:</td>
    <td class="frmText11"><input name="state" type="text" class="text" value="{tmpl_var name='state'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='country_txt'}:</td>
    <td class="frmText11"><input name="country" type="text" class="text" value="{tmpl_var name='country'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='telephone_txt'}:</td>
    <td class="frmText11"><input name="telephone" type="text" class="text" value="{tmpl_var name='telephone'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='mobile_txt'}:</td>
    <td class="frmText11"><input name="mobile" type="text" class="text" value="{tmpl_var name='mobile'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='fax_txt'}:</td>
    <td class="frmText11"><input name="fax" type="text" class="text" value="{tmpl_var name='fax'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='email_txt'}:</td>
    <td class="frmText11"><input name="email" type="text" class="text" value="{tmpl_var name='email'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='internet_txt'}:</td>
    <td class="frmText11"><input name="internet" type="text" class="text" value="{tmpl_var name='internet'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='icq_txt'}:</td>
    <td class="frmText11"><input name="icq" type="text" class="text" value="{tmpl_var name='icq'}" size="30" maxlength="255"></td>
  </tr>
  <tr>
    <td class="frmText11">{tmpl_var name='notes_txt'}:</td>
    <td class="frmText11"><textarea name='notes' cols='30' rows='10'>{tmpl_var name='notes'}</textarea></td>
  </tr>  <tr>
    <td class="frmText11">&nbsp;</td>
    <td class="frmText11">&nbsp;</td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td><input name="btn_save" type="button" class="button" value="{tmpl_var name='btn_save_txt'}" onClick="submitForm('pageForm','client/client_edit.php');"><div class="buttonEnding"></div>&nbsp;
      <input name="btn_cancel" type="button" class="button" value="{tmpl_var name='btn_cancel_txt'}" onClick="loadContent('client/client_list.php');"><div class="buttonEnding"></div>
    </td>
  </tr>
</table>
<input type="hidden" name="id" value="{tmpl_var name='id'}">