<table border="0" cellspacing="0" cellpadding="0" width="640" class="table dashed">
<tr>
<td colspan="2" class="table_header bottom">
<table border="0" cellspacing="0" cellpadding="0" width="640" class="table dashed">
<tr>
<td colspan="2" class="table_header bottom">
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td class="register_left" align="right">
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td class="register_left" align="right">
<tr>
<td colspan="2" class="table_footer">
<input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
<tr>
<td colspan="2" class="table_footer">
<input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />