
<center>
  
  <table class="soft" border="1" cellpadding="3" cellspacing="0" width="50%">
    
    <form action="<TMPL_VAR CGI>" method="post">
    <input type="hidden" name="action" value="transition_actions">
    <input type="hidden" name="session" value="<TMPL_VAR ESCAPE=HTML session>">
    <input type="hidden" name="sign" value="<TMPL_VAR sign>">
    
    <tr class="accent"> 
      <th align="center" class="header1" colspan=2> <b>Account Information</b> </th>       
    </tr>
        
    <tr> 
        <th align=right> Account Name:</th> 
	<td align=left><TMPL_VAR account_username></td>
    </tr>
    <tr> 
        <th align=right> Package Purchased:</th> 
	<td align=left><TMPL_VAR package_title></td>
    </tr>
    <tr> 
        <th align=right> Status:</th> 
	<td align=left><TMPL_VAR status></td>
    </tr>
    
    <tr class="accent"> 
      <th align="center" class="header1" colspan=2> <b>Expiry Date</b> </th>       
    </tr>
    
    <tr> 
        <th align=right> Current Expiry Date:</th> 
	<td align=left><TMPL_VAR expiry_date></td>
    </tr>
    
    <tr class="soft">  
        <th align=right> Extend Expiry Date To:</th> 
        
	<td align=left>
          <select name=exp_year <TMPL_VAR expiry_disabled>>
	      <TMPL_VAR years_menu>
	  </select>
          <select name=exp_month <TMPL_VAR expiry_disabled>>
	      <TMPL_VAR months_menu>
	  </select>
          <select name=exp_day <TMPL_VAR expiry_disabled>>
	      <TMPL_VAR days_menu>
	  </select>
        </td>
    </tr>

    <tr class="accent"> 
	<td align=center><input type=submit name="do_cancel_action" value="  Cancel  "></td>
        <td align=center><input type=submit name="do_collect_expiry_info" value="  Submit  "></td> 
    </tr>
    
    </form >    
  </table>

</center>
