  <form action="{ADD_FORMACTION}" method="post">
	<table class="std">
	  <tr class="tbltitle">
		<td colspan="3">
		  <table class="fullwidth_invisible" cellspacing="0">
			<tr class="tbltitle">
			  <td width="10"><img src="{TYPE_IMG}" alt="{ALT_IMG}" title="{ALT_IMG}" border="0" vspace="0" align="left" /></td>
			  <td class="tbltitle" align="left" nowrap="nowrap">&nbsp;{TITLE}</td>
			</tr>
		  </table>
		</td>
	  </tr>
	  <tr>
		<td class="option">{TXT_DURATION}</td>
		<td class="option_value"><input type="text" size="2" maxlength="2" name="duration" value="{DURATION}"/>&nbsp;{MONTH}</td>
	  </tr>
	  <tr>
		<td class="option">{TXT_UNLIMITED_DURATION}</td>
		<td class="option_value"><input type="checkbox" id="unlimited_duration" name="unlimited_duration" value="1"/>&nbsp;</td>
	  </tr>	  
	  <tr>
		<td class="option">{TXT_PRICE}</td>
		<td class="option_value"><input type="text" size="4" maxlength="5" name="price" value="{PRICE}" />
			&nbsp;{TXT_PRICE_A}
			
		</td>
	  </tr>
	  <tr class="tblfooter" >
		<td class="submit" colspan="3" align="right">
		  <input class="submit" type="submit" name="cmd[performAddPrice]" value="{ADD}" />&nbsp;<input class="submit" type="submit" name="cmd[editPrices]" value="{CANCEL}" />
		</td>
	  </tr>
	</table>
</form>