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khosb/themes/default/blocks/newsletter/unsubscribe.tpl

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<form name="newsletter_subscribe" method="post" action="">
<table width=100% border="0" cellspacing="0" cellpadding="1" class="table_background">
<tr>
<td>
<table width="100%" border="0" cellspacing="3" cellpadding="1" class="row1">
<tr valign="top">
<td width="35%">
{translate module=newsletter}
unsubscribe_newsletter
{/translate}
</td>
<td width="65%">
{ $method->exe("newsletter", "check_list") }
{if ($method->result == FALSE)}
{$block->display("core:method_error")}
{/if}
</td>
</tr>
<tr valign="top">
<td width="35%">
{translate module=account_admin}
field_email
{/translate}
</td>
<td width="65%">
<input type="text" name="newsletter_email" size="24" value="{$VAR.newsletter_email}" maxlength="128">
</td>
</tr>
<tr class="row1" valign="middle" align="left">
<td width="35%"></td>
<td width="65%">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td>
<input type="submit" name="Submit2" value="{translate module="newsletter"}submit_unsubscribe{/translate}" class="form_button">
</td>
<td align="right">&nbsp; </td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
</table>
<input type="hidden" name="_page" value="newsletter:unsubscribe">
<input type="hidden" name="do[]" value="newsletter:unsubscribe">
</form>