            <div class="form-group">
                <label class="col-sm-3 control-label"><em>*</em> {tmpl_var name='email_txt'}</label>
                <div class="col-sm-9">
				    <div class='input-group'>
						<input type="text" id="email_local_part" name="email_local_part" value="{tmpl_var name='email_local_part'}" class="form-control" />
						<span class='input-group-addon'>@</span>
                        <div class='input-group-field'>
							<select name="email_domain" id="email_domain" class="form-control" style="height:50px;min-width:170px;">{tmpl_var name='email_domain'}</select>
                        </div>
                    </div>
				</div>
            </div>
            <div class="form-group">
                <label for="destination" class="col-sm-3 control-label"><em>*</em> {tmpl_var name='destination_txt'}</label>
                <div class="col-sm-9"><textarea rows="10" cols="40" name="destination" id="destination" class="form-control">{tmpl_var name='destination'}</textarea></div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">{tmpl_var name='send_as_txt'}</label>
                <div class="col-sm-9">
                    {tmpl_var name='allow_send_as'} <small> {tmpl_var name='send_as_exp'}</small>
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">{tmpl_var name='greylisting_txt'}</label>
                <div class="col-sm-9">
                    {tmpl_var name='greylisting'}
                </div>
            </div>
            <div class="form-group">
                <label class="col-sm-3 control-label">{tmpl_var name='active_txt'}</label>
                <div class="col-sm-9">
                    {tmpl_var name='active'}
                </div>
            </div>

        <input type="hidden" name="id" value="{tmpl_var name='id'}">
        <input type="hidden" name="type" value="forward">

        <div class="clear">
            <tmpl_if name='id'><tmpl_if name='show_delete_on_forms' op="==" value="y">
                <a class="btn btn-default formbutton-danger formbutton-narrow" href="javascript: ISPConfig.confirm_action('mail/mail_domain_del.php?id={tmpl_var name='id'}&_csrf_id={tmpl_var name='_csrf_id'}&_csrf_key={tmpl_var name='_csrf_key'}&phpsessid={tmpl_var name='phpsessid'}','{tmpl_var name='delete_confirmation'}');"><span class="icon icon-delete"></span></a>
            </tmpl_if></tmpl_if>
            <div class="right">
                <button class="btn btn-default formbutton-success" type="button" value="{tmpl_var name='btn_save_txt'}" data-submit-form="pageForm" data-form-action="mail/mail_forward_edit.php">{tmpl_var name='btn_save_txt'}</button>
                <button class="btn btn-default formbutton-default" type="button" value="{tmpl_var name='btn_cancel_txt'}" data-load-content="mail/mail_forward_list.php">{tmpl_var name='btn_cancel_txt'}</button>
            </div>
        </div>
