
<!-- BEGIN DYNAMIC BLOCK: contact -->
<table style="background-color: rgb(221, 238, 255);" border="0" cellpadding="0" cellspacing="0" width="85%">
  <tbody>
    <tr>
      <td style="font-weight: bold; font-size:110%" width="100%" onclick="hideshow(document.getElementById('{CONTACT_TYPE}contact'), 'toggle_{CONTACT_TYPE}contact');">
          {CONTACT_TYPE_LANG} [l]Contact Information[/l]
      </td>
      <td id="td{CONTACT_TYPE}" width="20">
        <!-- BEGIN DYNAMIC BLOCK: contact_edit -->
        <a class="liveupdate" href="javascript:showEditBoxes('{CONTACT_TYPE}');">[l]Edit[/l]</a>
        <!-- END DYNAMIC BLOCK: contact_edit -->
      </td>
      <td style="padding-right: 10px;" align="right" onclick="hideshow(document.getElementById('{CONTACT_TYPE}contact'), 'toggle_{CONTACT_TYPE}contact');">
        &nbsp;&nbsp;&nbsp;<img id="toggle_{CONTACT_TYPE}contact" src="{RELATIVE_PATH}images/collapse.gif" border="0">
      </td>
    </tr>
  </tbody>
</table>

<div id="{CONTACT_TYPE}contact" style="text-align: left; width: 85%;">
  <form id="{CONTACT_TYPE}form" name="{CONTACT_TYPE}form">
    <table width="100%">
      <!-- BEGIN DYNAMIC BLOCK: contact_default -->
      <tr class="{ROW_CLASS}">
        <td style="margin-left: 15px; width: 50%; font-weight: bold">[l]Use Registrant Info[/l]:</td>
        <td><span id="view_{CONTACT_TYPE}_default">{FIELD_VALUE}</span><span id="edit_{CONTACT_TYPE}_default" style="display:none"><input type="radio" id="{CONTACT_TYPE}_default_yes" name="{CONTACT_TYPE}_default" value="yes" onchange="javascript:toggleFields('{CONTACT_TYPE}');" {YES_CHECKED}/> [l]Yes[/l]&nbsp;&nbsp;&nbsp;<input type="radio" name="{CONTACT_TYPE}_default" value="no" onchange="javascript:toggleFields('{CONTACT_TYPE}');" {NO_CHECKED}/> [l]No[/l]</span></td>
      </tr>
      <!-- END DYNAMIC BLOCK: contact_default -->
      <!-- BEGIN DYNAMIC BLOCK: contact_field -->
      <tr id="tr{FIELD_NAME}" class="{ROW_CLASS}" style="display: {DEFAULT_DISPLAY}">
        <td style="margin-left: 15px; width: 50%; font-weight: bold">{FIELD_LABEL}:</td>
        <td><span id="view_{FIELD_NAME}">{FIELD_VALUE}</span><span id="edit_{FIELD_NAME}" style="display:none"><input type="text" name="{FIELD_NAME}" value="{FIELD_VALUE}" /></span></td>
      </tr>
      <!-- END DYNAMIC BLOCK: contact_field -->
    </table>
  </form>
</div>
<br />
<!-- END DYNAMIC BLOCK: contact -->

<!-- BEGIN DYNAMIC BLOCK: error -->
[l]An error has occured[/l]: {ERR}
<!-- END DYNAMIC BLOCK: error -->
