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1
2 <form id="crepair-form" action="crepair/$contact_id" method="post" >
3
4 <h4>$contact_name</h4>
5
6 <label id="crepair-nick-label" for="crepair-nick">$label_nick</label>
7 <input type="text" id="crepair-nick" name="nick" value="$contact_nick" />
8 <div class="clear"></div>
9
10 <label id="crepair-attag-label" for="crepair-attag">$label_attag</label>
11 <input type="text" id="crepair-attag" name="attag" value="$contact_attag" />
12 <div class="clear"></div>
13
14 <label id="crepair-url-label" for="crepair-url">$label_url</label>
15 <input type="text" id="crepair-url" name="url" value="$contact_url" />
16 <div class="clear"></div>
17
18 <label id="crepair-request-label" for="crepair-request">$label_request</label>
19 <input type="text" id="crepair-request" name="request" value="$request" />
20 <div class="clear"></div>
21  
22 <label id="crepair-confirm-label" for="crepair-confirm">$label_confirm</label>
23 <input type="text" id="crepair-confirm" name="confirm" value="$confirm" />
24 <div class="clear"></div>
25
26 <label id="crepair-notify-label" for="crepair-notify">$label_notify</label>
27 <input type="text" id="crepair-notify" name="notify" value="$notify" />
28 <div class="clear"></div>
29
30 <label id="crepair-poll-label" for="crepair-poll">$label_poll</label>
31 <input type="text" id="crepair-poll" name="poll" value="$poll" />
32 <div class="clear"></div>
33
34 <label id="crepair-photo-label" for="crepair-photo">$label_photo</label>
35 <input type="text" id="crepair-photo" name="photo" value="" />
36 <div class="clear"></div>
37
38 <input type="submit" name="submit" value="$lbl_submit" />
39
40 </form>
41
42