<h2><tmpl_var name="list_head_txt"></h2>
<p><tmpl_var name="list_desc_txt"></p>
<div class="panel panel_iptables">
    
    <div class="pnl_formsarea">
        <fieldset class="inlineLabels">
            <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="table">{tmpl_var name='table_txt'}</label>
                <select name="table" id="table" class="selectInput formLengthLimit">
                    {tmpl_var name='table'}
                </select>
            </div>
            <div class="ctrlHolder">
                <label for="protocol">{tmpl_var name='protocol_txt'}</label>
                <select name="protocol" id="protocol" class="selectInput formLengthLimit">
                    {tmpl_var name='protocol'}
                </select>
            </div>
            <div class="ctrlHolder">
                <label for="singleport">{tmpl_var name='singleport_txt'}</label>
                <input name="singleport" id="singleport" value="{tmpl_var name='singleport'}" size="10" maxlength="10" type="text" class="textInput formLengthLimit" />
            </div>
            <div class="ctrlHolder">
                <label for="multiport">{tmpl_var name='multiport_txt'}</label>
                <input name="multiport" id="multiport" value="{tmpl_var name='multiport'}" size="20" maxlength="40" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="destination_ip">{tmpl_var name='destination_ip_txt'}</label>
                <input name="destination_ip" id="destination_ip" value="{tmpl_var name='destination_ip'}" size="16" maxlength="20" type="text" class="textInput formLengthIPv4" />
            </div>
            <div class="ctrlHolder">
                <label for="source_ip">{tmpl_var name='source_ip_txt'}</label>
                <input name="source_ip" id="source_ip" value="{tmpl_var name='source_ip'}" size="16" maxlength="20" type="text" class="textInput formLengthIPv4" />
            </div>
            <div class="ctrlHolder">
                <label for="state">{tmpl_var name='state_txt'}</label>
                <input name="state" id="state" value="{tmpl_var name='state'}" size="16" maxlength="20" type="text" class="textInput" />
            </div>
            <div class="ctrlHolder">
                <label for="target">{tmpl_var name='target_txt'}</label>
                <select name="target" id="target" class="selectInput formLengthLimit">
                    {tmpl_var name='target'}
                </select>
            </div>
            <div class="ctrlHolder">
                <p class="label">{tmpl_var name='active_txt'}</p>
                <div class="multiField">
                    {tmpl_var name='active'}
                </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/iptables_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/iptables_list.php');">
                <span>{tmpl_var name='btn_cancel_txt'}</span></button>
        </div>
    </div> 
    
</div>