<td><input type="checkbox" name="active_[% loop.count %]" value="1" [% IF row.active %]checked[% END %]></td>
<td><input type="checkbox" name="email_[% loop.count %]" value="1" [% IF row.email %]checked[% END %]></td>
<td><input type="hidden" name="customername_[% loop.count %]" size="6" value="[% HTML.escape(row.customername) %]">[% HTML.escape(row.customername) %]</td>
<td><input type="checkbox" name="active_[% loop.count %]" value="1" [% IF row.active %]checked[% END %]></td>
<td><input type="checkbox" name="email_[% loop.count %]" value="1" [% IF row.email %]checked[% END %]></td>
<td><input type="hidden" name="customername_[% loop.count %]" size="6" value="[% HTML.escape(row.customername) %]">[% HTML.escape(row.customername) %]</td>