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>