2 <form accept-charset="UTF-8" action="{%url=modules.php?module=login&what=primera&do=pay%}" method="post">
3 <table border="0" cellspacing="0" cellpadding="0" width="440" class="table dashed">
5 <td colspan="2" align="center" class="table_header bottom">
6 <strong>{--MEMBER_PRIMERA_PAYOUT_TITLE--}</strong>
10 <td class="bottom" height="25" align="right">{--MEMBER_PRIMERA_PAYOUT_POINTS--}</td>
11 <td class="bottom"><strong>$content[points]</strong> Primera</td>
14 <td class="bottom" height="25" align="right">{--MEMBER_PRIMERA_PAYOUT_MIN_POINTS--}</td>
15 <td class="bottom"><strong>{%config,translateComma=primera_min_payout%}</strong> Primera</td>
18 <td height="35" align="right">{--MEMBER_PRIMERA_NICKNAME--}</td>
19 <td><input type="text" class="form_field" name="primera_nickname" size="10" maxlength="255" value="{%user,primera_nickname%}" /></td>
22 <td height="35" align="right">{--MEMBER_PRIMERA_PASSWORD--}</td>
23 <td><input type="password" class="form_field" name="primera_password" size="10" maxlength="255" /></td>
26 <td height="35" align="right">{--MEMBER_PRIMERA_AMOUNT--}</td>
27 <td><input type="text" class="form_field" name="amount" size="10" maxlength="255" /></td>
30 <td colspan="2" align="center" class="table_footer">
31 <input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
32 <input type="submit" class="form_submit" name="ok" value="{--MEMBER_PRIMERA_PAYOUT_SUBMIT--}" />
39 {--MEMBER_PRIMERA_PAYOUT_NOTE--}