<tr>
	<td valign="top" class="{ROWCOL}" width="5%">{CHECKBOX}</td>
	<td class="{ROWCOL}" width="25%" nowrap="nowrap"><input type="text" size="2" maxlength="2" name="{DURATION_NAME}" value="{DURATION}"/>&nbsp;{MONTH}</td>
	<td class="{ROWCOL}" width="25%">{UNLIMITED_DURATION}</td>	
	<td class="{ROWCOL}" width="25%" nowrap="nowrap"><input type="text" size="10" maxlength="10" name="{PRICE_NAME}" value="{PRICE}"/>&nbsp;{SHORTFORM}</td>
</tr>