<!-- BEGIN form -->
  <form method="post" action="{form_action}">
  	<table class="basic" align="center">
      <thead><tr><td colspan="2">{lang_message}</td></tr></thead>
      <tr><td class="bg_view" colspan="2">{select_values}</p>
      <tr>
      	<td><input type="submit" name="submit" value="{lang_submit}" /></td>
				<td><input type="submit" name="cancel" value="{lang_cancel}" /></td>
			</tr>
		</table>
  </form>
<!-- END form -->

