2 action="{!URL!}/modules.php?module=login&what=primera&primera=$_GET[primera]"
3 method="POST" style="margin-bottom: 0px">
4 <table border="0" cellspacing="0" cellpadding="0" width="440"
5 class="member_table dashed">
7 <td colspan="3" align="center" class="member_title2 bottom2"
8 height="30"><strong>{--PRIMERA_NOW_TITLE--}</strong></td>
11 <td colspan="3" height="3" class="seperator"> </td>
14 <td height="25" align="right">{--PRIMERA_MAX_PRIMERA--}:</td>
15 <td class="seperator" width="10"> </td>
16 <td><strong>{--PRIMERA_MAX_VALUE--}</strong></td>
19 <td height="25" align="right">{--PRIMERA_WANT_PRIMERA--}:</td>
20 <td class="seperator" width="10"> </td>
21 <td><input type="text" name="primera" class="member_normal"
22 size="10" maxlength="255" value="{--PRIMERA_MAX_VALUE!}"></strong></td>
25 <td height="25" align="right">{--PRIMERA_TARGET_ACCOUNT--}:</td>
26 <td class="seperator" width="10"> </td>
27 <td><input type="text" name="account" class="member_normal"
28 size="20" maxlength="255"></strong></td>
31 <td height="25" align="right">{--PRIMERA_OPTIONAL_PASSWORD--}:</td>
32 <td class="seperator" width="10"> </td>
33 <td><input type="password" name="pass" class="member_normal"
34 size="10" maxlength="255"></strong></td>
37 <td colspan="3" height="3" class="seperator bottom2"> </td>
40 <td colspan="3" align="center" class="member_footer"><input
41 type="reset" class="member_reset" value="{--CLEAR_FORM--}" /> <input
42 type="submit" name="ok" class="member_submit"
43 value="{--PRIMERA_SEND_NOW--}"></td>
48 <div class="member_note">{--PRIMERA_MEMBER_NOTE--}<br />
50 <a href="{!URL!}/agb.php" target="_blank">{--PRIMERA_REMEMBER_TERMS--}</a>