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<!-- INCLUDE overall_header.html -->
<form name="confirm" action="{S_CONFIRM_ACTION}" method="post">
<div align="center">{MESSAGE_TITLE}</div>
<!-- IF ADDITIONAL_MSG -->
<span class="error">{ADDITIONAL_MSG}</span><br />
<!-- ENDIF -->
<!-- IF S_NOTIFY_POSTER -->
<input type="checkbox" class="radio" name="notify_poster" checked="checked" /><span class="genmed"><!-- IF S_APPROVE -->{L_NOTIFY_POSTER_APPROVAL}<!-- ELSE -->{L_NOTIFY_POSTER_DISAPPROVAL}<!-- ENDIF --></span><br />
<!-- ENDIF -->
<!-- IF not S_APPROVE -->
<br />
<div class="row1"><span class="gensmall">{L_DISAPPROVE_REASON}:</span><br/>
<select name="reason_id"><!-- BEGIN reason --><option value="{reason.ID}"<!-- IF reason.S_SELECTED --> selected="selected"<!-- ENDIF -->>{reason.DESCRIPTION}</option><!-- END reason --></select>
</div>
<div class="row1"><span class="gensmall">{L_MORE_INFO}:</span><br />
<span class="genmed">{L_CAN_LEAVE_BLANK}</span><br/>
<textarea class="post" style="width:500px" name="reason" rows="3" cols="25">{REASON}</textarea></div>
<!-- ENDIF -->
<div class="row1">{S_HIDDEN_FIELDS}<span class="genmed">{MESSAGE_TEXT}</span><br />
<input type="submit" name="confirm" value="{YES_VALUE}"/> <input type="submit" name="cancel" value="{L_NO}"/>
{S_FORM_TOKEN}
</div>
</form>
<br clear="all" />
<!-- INCLUDE overall_footer.html -->