<table border="0" cellpadding="0" width="725"  bgcolor="#FFFFCC" cellspacing="5">
  <tr>
    <td width="200" align="right"><font color="#000000"><strong>Initial trial cost:</strong></font></td>
    <td width="48"><font color="#000000">
      <input type="text" name="a1" size="8" />
    </font></td>
    <td width="457" align="left"><font color="#000000">
      total amount for the initial TRIAL period (enter 0.00 for free) </font></td>
  </tr>
  <tr>
    <td align="right"><strong><font color="#000000">*Initial trial duration:</font></strong></td>
    <td><font color="#000000">
      <input type="text" name="p1" size="8" />
    </font></td>
    <td align="left"><font color="#000000">Enter total seconds for the duration of membership (whole seconds)</font></td>
  </tr>
</table>
<br />
<table width="725" border="0" cellpadding="0" cellspacing="5"  bgcolor="#FFFFCC">
  <tr>
    <td align="right"><font color="#000000"><strong>Second trial cost:<br />
    </strong>(follows the initial trial period)</font></td>
    <td><input type="text" name="a2" size="8" /></td>
    <td align="left"><font color="#000000">total amount for the second TRIAL  period (enter 0.00 for free) 
    </font></td>
  </tr>
  <tr>
    <td width="200" align="right"><p><strong><font color="#000000">*Second trial duration:</font></strong></p></td>
    <td width="48"><font color="#000000">
      <input type="text" name="p2" size="8" />
    </font></td>
    <td width="480" align="left"><font color="#000000">Enter total seconds for the duration of membership (whole seconds)<br />
      <em>if you <strong>do not</strong> want to offer this set to 0 (zero, which is the default) </em></font></td>
  </tr>
</table>
<div align="center">
  <script LANGUAGE="JavaScript"><!--
document.PPF.a1.value="<?php echo $row['a1']; ?>";
document.PPF.a2.value="<?php echo $row['a2']; ?>";
document.PPF.p1.value="<?php echo $row['p1']; ?>";
document.PPF.p2.value="<?php echo $row['p2']; ?>";

// --></script> 
  <em>You must set the <strong>initial trial</strong> cost/duration for the <strong>second trial</strong> to be valid/usable.</em></div>