
<FORM action='$SELF_URL' METHOD='POST'>
<input type='hidden' name='SESSION_ID' value='%SESSION_ID%'>
<input type='hidden' name='index' value='$index'>
<input type='hidden' name='UID' value='%UID%'>
<input type='hidden' name='sid' value='$sid'>
<input type='hidden' name='ACCT_INTERIUM_INTERVAL' value='%ACCT_INTERIUM_INTERVAL%'>
IP: %IP%   %IP_INPUT_FORM% (%NAS_ID%)
<input type='submit' name='%ACTION%' value='%ACTION_LNG%' class='button'>
</form>
%ONLINE%
