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khosb/themes/default/blocks/blocked_email/add.tpl

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<!-- Display the form validation -->
{if $form_validation}
{ $block->display("core:alert_fields") }
{/if}
<!-- Display the form to collect the input values -->
<form id="blocked_email_add" name="blocked_email_add" method="post" action="">
<table width=100% border="0" cellspacing="0" cellpadding="0" class="table_background">
<tr>
<td>
<table width="100%" border="0" cellspacing="1" cellpadding="0">
<tr valign="top">
<td width="65%" class="table_heading">
<div align="center">
{translate module=blocked_email}
title_add
{/translate}
</div>
</td>
</tr>
<tr valign="top">
<td width="65%" class="row1">
<table width="100%" border="0" cellspacing="3" cellpadding="1" class="row1">
<tr valign="top">
<td width="35%">
{translate module=blocked_email}
field_email
{/translate}
</td>
<td width="65%">
<input type="text" name="blocked_email_email" value="{$VAR.blocked_email_email}" {if $blocked_email_email == true}class="form_field_error"{/if}>
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=blocked_email}
field_notes
{/translate}
</td>
<td width="65%">
<input type="text" name="blocked_email_notes" value="{$VAR.blocked_email_notes}" {if $blocked_email_notes == true}class="form_field_error"{/if}>
</td>
</tr>
<tr valign="top">
<td width="35%"></td>
<td width="65%">
<input type="submit" name="Submit" value="{translate}submit{/translate}" class="form_button">
<input type="hidden" name="_page" value="blocked_email:view">
<input type="hidden" name="_page_current" value="blocked_email:add">
<input type="hidden" name="do[]" value="blocked_email:add">
<input type="hidden" name="blocked_email_date_orig" value="{$smarty.now}">
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>