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<!-- INCLUDE overall_header.html -->
<form method="post" id="report" action="{S_REPORT_ACTION}">
<div id="form">
<div class="row1">{L_REPORT_POST}<br />
<span class="genmed"><!-- IF S_REPORT_POST -->{L_REPORT_POST_EXPLAIN}<!-- ELSE -->{L_REPORT_MESSAGE_EXPLAIN}<!-- ENDIF --></span></div>
<!-- IF ERROR --><div class="row1">{ERROR}</div><!-- ENDIF -->
<div class="row1"><span class="gensmall">{L_REASON}:</span>
<select name="reason_id">
<!-- BEGIN reason -->
<option value="{reason.ID}"<!-- IF reason.S_SELECTED --> selected="selected"<!-- ENDIF -->>{reason.TITLE}</option>
<!-- END reason -->
</select><br />
<!-- BEGIN reason -->
<div class="row1">{reason.TITLE} » {reason.DESCRIPTION}</div>
<!-- END reason -->
</div>
<!-- IF S_CAN_NOTIFY -->
<div class="row1"><span class="gensmall">{L_REPORT_NOTIFY}:</span><br /><span class="genmed">{L_REPORT_NOTIFY_EXPLAIN}</span><br />
<input type="radio" name="notify" value="1"<!-- IF S_NOTIFY --> checked="checked"<!-- ENDIF --> /> {L_YES} <input type="radio" name="notify" value="0"<!-- IF not S_NOTIFY --> checked="checked"<!-- ENDIF --> /> {L_NO}
</div>
<!-- ENDIF -->
<div class="row1">{L_MORE_INFO}:<br /><span class="genmed">{L_CAN_LEAVE_BLANK}</span><br />
<textarea name="report_text" rows="3" cols="20">{REPORT_TEXT}</textarea>
</div>
<!-- IF CAPTCHA_TEMPLATE -->
<!-- INCLUDE {CAPTCHA_TEMPLATE} -->
<!-- ENDIF -->
<div class="submit"><input type="submit" name="submit" class="subbutton" value="{L_SUBMIT}" /></div>
{S_FORM_TOKEN}</div>
</form>
<!-- INCLUDE overall_footer.html -->