<table border="0" cellspacing="0" cellpadding="0" class="table dashed">
<tr>
<td colspan="5" align="center" class="table_header bottom" height="30">
<table border="0" cellspacing="0" cellpadding="0" class="table dashed">
<tr>
<td colspan="5" align="center" class="table_header bottom" height="30">
<tr>
<td colspan="2" class="table_footer" align="center">
<input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />
<tr>
<td colspan="2" class="table_footer" align="center">
<input type="reset" class="form_reset" value="{--CLEAR_FORM--}" />