+ <td align=right><input name="l_customernumber" id="l_customernumber" class=checkbox type=checkbox value=Y></td>
+ <td nowrap>[% 'Customer Number' | $T8 %]</td>
+ </tr>
+ <tr>
+ <td align=right><input name="l_netamount" id="l_netamount" class=checkbox type=checkbox value="Y" checked></td>