<div class='noprint'>
<form action='$SELF_URL' METHOD='POST'>
<input type=hidden name=index value=$index>
<input type=hidden name=ID value=%ID%>
<TABLE class=form>
<TR><TD>$_NAME:</TD><TD><input type=text name=NAME value='%NAME%'></TD></TR>
<TR><TD>$_PERIOD:</TD><TD><input type=checkbox name=PERIODIC value='1' %PERIODIC%></TD></TR>
<TR><TH colspan=2><input type=submit name=%ACTION% value='%ACTION_LNG%'></TH></TR>
</TABLE>

</form>
</div>
