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<h2><tmpl_var name="list_head_txt"></h2>
<p><tmpl_var name="list_desc_txt"></p>
<div class="panel panel_firewall">
<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="tcp_port">{tmpl_var name='tcp_port_txt'}</label>
<input name="tcp_port" id="tcp_port" value="{tmpl_var name='tcp_port'}" size="30" maxlength="255" type="text" class="textInput" />
</div>
<div class="ctrlHolder">
<label for="udp_port">{tmpl_var name='udp_port_txt'}</label>
<input name="udp_port" id="udp_port" value="{tmpl_var name='udp_port'}" size="30" maxlength="255" type="text" class="textInput" />
</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/firewall_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/firewall_list.php');"><span>{tmpl_var name='btn_cancel_txt'}</span></button>
</div>
</div>
</div>