<html>
{HEAD}
{FORM_START}
{PAGE TITLE}
<table>
<tr>
<td class="menuwidth">
{MENU}
</td>
<td>
{CLIENT IDENTIFIER ENTRY TABLE}
{FORM_END}
</td>
</tr>
</table>
<table>
<tr>
<td class="footer">
{FOOTER}
</td>
</tr>
</table>
</html></td>
</tr>
</table>
</html>