<td align=right><input name="l_direct_debit" id="l_direct_debit" class=checkbox type=checkbox value=Y></td>
<td nowrap>[% 'direct debit' | $T8 %]</td>
</tr>
+ <tr>
+ <td align=right><input name="l_debit_chart" class=checkbox type=checkbox value=Y></td>
+ <td nowrap>[% 'Debit Account' | $T8 %]</td>
+ <td align=right><input name="l_insertdate" class=checkbox type=checkbox value=Y></td>
+ <td nowrap>[% 'Insert Date' | $T8 %]</td>
+ </tr>
<tr>
<td colspan=4 align=left><b>[% 'Vendor' | $T8 %] </td>
</tr>