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<p><?=$FORM->ShowFormNote()?><?=$FORM->ShowFormErrors()?></p>
<p>
<table width="100%" cellspacing="1" cellpadding="1" border="0" class="data-table">
<tbody>
<tr><td width="15%" valign="top" align="right"><?=$FORM->ShowInputCaption("VS_NAME","")?></td><td><?=$FORM->ShowInput('VS_NAME')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_BIRTHDAY","")?> (<?=$FORM->ShowDateFormat("")?>)</td><td><?=$FORM->ShowInput('VS_BIRTHDAY')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_ADDRESS","")?></td><td><?=$FORM->ShowInput('VS_ADDRESS')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_MARRIED","")?></td><td><?=$FORM->ShowInput('VS_MARRIED')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_INTEREST","")?></td><td><?=$FORM->ShowInput('VS_INTEREST')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_AGE","")?></td><td><?=$FORM->ShowInput('VS_AGE')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_EDUCATION","")?></td><td><?=$FORM->ShowInput('VS_EDUCATION')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowInputCaption("VS_INCOME","")?></td><td><?=$FORM->ShowInput('VS_INCOME')?></td></tr>
<tr><td valign="top" align="right"><?=$FORM->ShowCaptchaImage()?></td><td>Введите символы на картинке <?=$FORM->ShowRequired()?>
<br />
<?=$FORM->ShowCaptchaField()?></td></tr>
</tbody>
</table>
</p>
<p><?=$FORM->ShowSubmitButton("","")?></p>
<p> </p>
<p></p>