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1 | <h2 i18n:translate="" tal:condition="view/label" tal:content="view/label">Label</h2> |
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2 | <form method="POST"> |
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3 | <input type="hidden" name="form.acprefix" value="" tal:attributes="value view/acprefix" /> |
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4 | <table> |
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5 | <tbody> |
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6 | <tr> |
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7 | <tr> <td> |
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8 | <label for="form.acseries">Access Code: |
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9 | </label></td> <td> |
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10 | <span tal:replace="view/acprefix">PIN Prefix |
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11 | </span> - |
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12 | <input name="form.acseries" type="text" size="3" maxlength="3" value="" tal:attributes="value view/acseries"/> - |
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13 | <input name="form.acnumber" type="text" size="10" maxlength="10" value="" tal:attributes="value view/acnumber" /> </td> |
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14 | </tr> |
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15 | <tr> |
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16 | <td colspan="2"> |
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17 | <input type="submit" name="SUBMIT" tal:attributes="value view/buttonname" /> </td> |
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18 | </tr> |
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19 | </tbody> |
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20 | </table> |
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21 | </form> |
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