<h2><tmpl_var name="list_head_txt"></h2>
<p><tmpl_var name="list_desc_txt"></p>

<div class="panel panel_server_ip">
  
  <div class="pnl_formsarea">
    <fieldset class="inlineLabels"><legend>IP Address</legend>
      <div class="ctrlHolder">
      	<label for="server_id">{tmpl_var name='server_id_txt'}</label>
        <select name="server_id" id="server_id" class="selectInput">
					{tmpl_var name='server_id'}
				</select>
      </div>
      <div class="ctrlHolder">
      	<label for="ip_address">{tmpl_var name='ip_address_txt'}</label>
        <input name="ip_address" id="ip_address" value="{tmpl_var name='ip_address'}" size="15" maxlength="15" type="text" class="textInput" />
			</div>
      <div class="ctrlHolder">
				<p class="label">{tmpl_var name='virtualhost_txt'}</p>
					<div class="multiField">
						{tmpl_var name='virtualhost'}
					</div>
			</div>
    </fieldset>

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

    <div class="buttonHolder buttons">
      <button class="positive iconstxt icoPositive" type="button" value="{tmpl_var name='btn_save_txt'}" onClick="submitForm('pageForm','admin/server_ip_edit.php');"><span>{tmpl_var name='btn_save_txt'}</span></button>
      <button class="negative iconstxt icoNegative" type="button" value="{tmpl_var name='btn_cancel_txt'}" onClick="loadContent('admin/server_ip_list.php');"><span>{tmpl_var name='btn_cancel_txt'}</span></button>
    </div>
  </div>
  
</div>
