+<form accept-charset="UTF-8" id="form" action="{%url=modules.php?module=login&what=cash_coupon%}" method="post">
+<div class="table dashed">
+ <div class="table_header bottom">
+ <strong>{--MEMBER_COUPON_CHANGE_STATUS_TITLE--}</strong>
+ </div>
+ <div class="bottom" style="height:18px;padding-top:4px">
+ {--MEMBER_COUPON_RECEIVE_STATUS--}
+ <strong>{%user,receiving_coupons,translateYesNo%}</strong>
+ </div>
+ <div class="table_footer">
+ <input type="submit" class="form_submit" name="change" value="{--MEMBER_CHANGE_COUPON_STATUS--}" />
+ </div>
+</div>
+</form>