<table>

<form action=$SELF_URL ID=mapForm name=adress align=center>
<input type=hidden name=index value=$index>
<input type=hidden name=COORDX value=%COORDX%>
<input type=hidden name=COORDY value=%COORDY%>
%ADDRESS_TPL%
<table align=center border =0>
<br />
</table>
<input type=submit name=change value=$_CHANGE>

<br />

</form>
<br />



