<!-- BEGIN form -->
<b>{lang_title}</b>
<hr><p>

<form method="POST" action="{form_action}">
 <table border="0" width="60%" cellspacing="5" cellpadding="5">
  <tr>
   <td colspan="2">{lang_message}</td>
  </tr>
  <tr>
   <td colspan="2">{select_values}</td>
  </tr>
  <tr>
   <td align="left"><input type="submit" name="submit" value="{lang_submit}"></td>
   <td align="left"><input type="submit" name="cancel" value="{lang_cancel}"></td>
  </tr>
 </table>
</form>

<!-- END form -->
