{HEADER}
<script language="javascript">
		function validate(typ)
		{
					
			document.frm.isposted.value=typ;

			if(confirm("Save Changes"))
			{
				document.frm.submit();
			}
		}
</script>
<table width="780" height="80%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
      <TD background="../img/bg.jpg" vAlign=top align="center" class="thank">
	  <br><form name="frm" method="post" action="" enctype="multipart/form-data">
    <table width="75%" border="0" cellspacing="0" cellpadding="5">
        <tr class="hproduct1"> 
            <td  class="product-d1"><a href="index.php">Admin Home</a></td>
            <td   align="right" class="product-d1" ><a href="login_view.php?mode=d">Logout</a></td>
          </tr>
	  <tr align="center" > 
        <td colspan="2" class="hproduct"> 
          Admin Input Form </td>
      </tr>
      <tr align="center" class="hproduct1"> 
        <td colspan="2" >{HEADERTXT}</td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Prepop url :</td>
        <td width="57%"> 
			<textarea name="prepopurl" rows="10" cols="45">{PREPOPURL}</textarea>
          </td>
      </tr>
   	   <tr class="hproduct1"> 
        <td width="43%">  
            Country :</td>
        <td width="57%"> 
		    <select name="country">
				<option value="United States" {STR1} >United States</option>
				<option value="Canada" {STR2}>Canada</option>
				<option value="International" {STR3}>International</option>
			</select>
          </td>
       </tr>
	   <tr class="hproduct1"> 
        <td width="43%">  
            Capital to Invest :</td>
            <td ><select name="cap_inv" id="cap_inv">
                <option value="">-- Select one --</option>
								<!-- BEGIN option -->
									<option value={VALUE} {STRO} >{OPTION}</option>
								<!-- END option -->
								              </select></td>
       </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Show Prepop :</td>
        <td width="57%"> 
			<input type="checkbox" name="on_off" id="on_off" {STR4} value="1">
        </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Prepop url (1):</td>
        <td width="57%"> 
			<textarea name="prepopurl1" rows="10" cols="45">{PREPOPURL1}</textarea>
        
          </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Height (1):</td>
        <td width="57%"> 
			<input type="text" name="prepopurl1ht" id="prepopurl1ht" value="{PREPOPURL1HT}"> 
          </td>
      </tr>

	 <tr class="hproduct2"> 
        <td width="43%">  
            Goto First Preppop :</td>
        <td width="57%"> 
			<input type="checkbox" name="firstprepop_onoff" id="firstprepop_onoff" {STR5} value="1">
        </td>
      </tr>

      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Prepop url (2):</td>
        <td width="57%"> 
			<textarea name="prepopurl2" rows="10" cols="45">{PREPOPURL2}</textarea>    
          </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Height (2):</td>
        <td width="57%"> 
			<input type="text" name="prepopurl2ht" id="prepopurl2ht" value="{PREPOPURL2HT}"> 
          </td>
      </tr>

      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Prepop url (3):</td>
        <td width="57%"> 
			<textarea name="prepopurl3" rows="10" cols="45">{PREPOPURL3}</textarea>        
          </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Height (3):</td>
        <td width="57%"> 
			<input type="text" name="prepopurl3ht" id="prepopurl3ht" value="{PREPOPURL3HT}"> 
          </td>
      </tr>


      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Prepop url (4):</td>
        <td width="57%"> 
			<textarea name="prepopurl4" rows="10" cols="45">{PREPOPURL4}</textarea>
        
          </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Height (4):</td>
        <td width="57%"> 
			<input type="text" name="prepopurl4ht" id="prepopurl4ht" value="{PREPOPURL4HT}"> 
          </td>
      </tr>

      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Prepop url (5):</td>
        <td width="57%"> 
			<textarea name="prepopurl5" rows="10" cols="45">{PREPOPURL5}</textarea>       
          </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Height (5):</td>
        <td width="57%"> 
			<input type="text" name="prepopurl5ht" id="prepopurl5ht" value="{prepopurl5ht}"> 
          </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Frame Show Prepop :</td>
        <td width="57%"> 
							<input type="checkbox" name="fraon_off" id="fraon_off" {STR6} value="1">
        </td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Top Frame Link :</td>
        <td width="57%"> 
			<input type="checkbox" name="toplink_onoff" id="toplink_onoff" {STR7} value="1">
        </td>
      </tr>
	   <tr class="hproduct2"> 
        <td width="43%">  
            Top Frame Text :</td>
        <td width="57%"> 
			<input type="checkbox" name="topframe_onoff" id="topframe_onoff" {STR8} value="1">
        </td>
      </tr>
	   <tr class="hproduct2"> 
        <td width="43%">  
            Skip Offer Button :</td>
        <td width="57%"> 
			<input type="checkbox" name="skipofferbut_onoff" id="skipofferbut_onoff" {STR9} value="1">
        </td>
      </tr>

	        <tr align="center" class="hproduct2"> 
        <td colspan="2" align="center" valign="top" > 
				{INPUT1}
				&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
          <INPUT TYPE="button" value="Back" onClick="history.back();">
					{HTML}
					        </td>
      </tr>
      </tr>
      <tr align="center" class="hproduct1"> 
        <td colspan="2" align="center" valign="top" > 
     	<input type="hidden" name="mode" value="{GET1}">
	    <input type="hidden" name="isposted" value="">
	    <input type="hidden" name="id" value="{GET2}">
        </td>
      </tr>
    </table>
	</form>
        </TD>
  </tr>
</table>
{FOOTER}