<p><b>{title}</b>
<hr><br>
<form method="POST" action="{save_url}">
<table border="0" width="65%" align="center">
 <tr>
  <td align="right" valign="middle" width="44%">{lang_theme}</td>
  <td align="center" valign="middle" width="1%">&nbsp;:&nbsp;</td>
  <td align="left" valign="middle" width="55%">{select_box}</td>
 </tr>
 <tr>
  <td colspan="3" align="center" valign="top"><br><input type="submit" name="submit" value="{lang_save}"></td>
 </tr>
</table>
</form>
