6 <h1>[% 'E-mail Statement to' | $T8 %] [% $ct %]</h1>
8 <form method=post action='[% script %]'>
12 <th align=right nowrap>[% 'E-mail' | $T8 %]</th>
13 <td><input name=email size=30 value="[% email %]"></td>
14 <th align=right nowrap>[% 'Cc' | $T8 %]</th>
15 <td><input name=cc size=30 value="[% cc %]"></td>
18 <th align=right nowrap>[% 'Subject' | $T8 %]</th>
19 <td><input name=subject size=30 value="[% subject %]"></td>
21 <th align=right nowrap=true>[% 'Bcc' | $T8 %]</th>
22 <td><input name=bcc size=30 value="[% bcc | $T8 %]"></td>
28 <th align=left nowrap>[% 'Message' | $T8 %]</th>
31 <td><textarea name=message rows=15 cols=60 wrap=soft>[% message %]</textarea></td>
37 <input type=hidden name=nextsub value=send_email>
38 [%- FOREACH var = hidden_values %]
39 [% L.hidden_tag(var, $var) %]
43 <input name=action class=submit type=submit value="[% 'Continue' | $T8 %]">