+[%- USE HTML %]
+[%- USE L %]
+[%- USE LxERP %]
+[%- USE T8 %]
+<body>
+
+<h1>[% 'E-mail Statement to' | $T8 %] [% $ct %]</h1>
+
+<form method=post action='[% script %]'>
+
+<table>
+ <tr>
+ <th align=right nowrap>[% 'E-mail' | $T8 %]</th>
+ <td><input name=email size=30 value="[% email %]"></td>
+ <th align=right nowrap>[% 'Cc' | $T8 %]</th>
+ <td><input name=cc size=30 value="[% cc %]"></td>
+ </tr>
+ <tr>
+ <th align=right nowrap>[% 'Subject' | $T8 %]</th>
+ <td><input name=subject size=30 value="[% subject %]"></td>
+[% IF show_bcc %]
+ <th align=right nowrap=true>[% 'Bcc' | $T8 %]</th>
+ <td><input name=bcc size=30 value="[% bcc | $T8 %]"></td>
+[%- END %]
+ </tr>
+</table>
+<table width=100%>
+ <tr>
+ <th align=left nowrap>[% 'Message' | $T8 %]</th>
+ </tr>
+ <tr>
+ <td><textarea name=message rows=15 cols=60 wrap=soft>[% message %]</textarea></td>
+ </tr>
+</table>
+[% print_options %]
+<hr size=3 noshade>
+
+<input type=hidden name=nextsub value=send_email>
+[%- FOREACH var = hidden_values %]
+[% L.hidden_tag(var, $var) %]
+[%- END %]
+
+<br>
+<input name=action class=submit type=submit value="[% 'Continue' | $T8 %]">
+</form>
+
+</body>
+</html>