<tr><td colspan='2'><hr/></td></tr>
<tr><td colspan='2'>
<table border=0>
<TR><TD colspan='2'>$_NAME:</TD><TD><textarea name='COMPANY_NAME' rows='2' cols='45'>%COMPANY_NAME%</textarea></TD></TR>
<tr><td colspan='2'>$_ADDRESS:</TD><TD><input type='text' name='ADDRESS' value='%ADDRESS%' size='60'></TD></TR>
<tr><td colspan='2'>$_PHONE:</TD><TD><input type='text' name='PHONE' value='%PHONE%' size='60'></TD></TR>
<tr><td colspan='2'>$_REPRESENTATIVE:</TD><TD><input type='text' name='REPRESENTATIVE' value='%REPRESENTATIVE%' size='60'></TD></TR>
<tr><td colspan='2'>$_DEPOSIT:</TD><TD><input type='text' name='DEPOSIT' value='%DEPOSIT%' size='10'></TD></TR>
<tr><td colspan='2'>$_CREDIT:</TD><TD><input type=text name=CREDIT value='%CREDIT%'> $_DATE: %CREDIT_DATE%
	

<tr><td colspan='2'>$_VAT (%):</TD><TD><input type=text name=VAT value='%VAT%'></TD></TR>
<tr><td colspan='2'>$_REGISTRATION:</TD><TD>%REGISTRATION%</TD></TR>
<TR class='title_color'><TH colspan=3>$_BANK_INFO</th></tr>
<TR><TD colspan='2'>$_TAX_NUMBER:</TD><TD><input type=text name=TAX_NUMBER value='%TAX_NUMBER%' size=60></TD></TR>
<TR><TD colspan='2'>$_ACCOUNT:</TD><TD><input type=text name=BANK_ACCOUNT value='%BANK_ACCOUNT%' size=60></TD></TR>
<TR><TD colspan='2'>$_BANK:</TD><TD><input type=text name=BANK_NAME value='%BANK_NAME%' size=60></TD></TR>
<TR><TD colspan='2'>$_COR_BANK_ACCOUNT:</TD><TD><input type=text name=COR_BANK_ACCOUNT value='%COR_BANK_ACCOUNT%' size=60></TD></TR>
<TR><TD colspan='2'>$_BANK_BIC:</TD><TD><input type=text name=BANK_BIC value='%BANK_BIC%' size=60></TD></TR>
<TR><TD colspan='2'>$_CONTRACT_ID:</TD><TD><input type=text name=CONTRACT_ID value='%CONTRACT_ID%' size=10>
<tr><td colspan='2'>$_DISABLE:</TD><TD><input type=checkbox name=DISABLE value='1' %DISABLE%></TD></TR>


</table>