<html>
<head>
<title>
{$title}
</title>
</head>
<body>
<form action="{$form_action}" method="POST">
<table cellspacing="0" cellpadding="1" align="center">
<tr>
<td colspan="2" align="center">
{$header}
</td>
</tr>
<tr>
<td>
Username
</td>
<td>
<input type="text" name="{$form_username}">
</td>
</tr>
<tr>
<td>
Password
</td>
<td>
<input type="password" name="{$form_password}">
</td>
</tr>
<tr>
<td>
Remember details
</td>
<td>
<input type="checkbox" name="{$form_remember}" {$remember_checked}>
</td>
</tr>
<tr>
<td colspan="2" align="center">
<input type="Submit" name="Submit" value="{$form_submit}">
</td>
</tr>
</table>
</form>
<p align="center">
{$error_message}
</p>
</body>
</html>
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