<BR>
<CENTER>

<B><FONT face="verdana, arial" size=3>
- Edit {{contact_type}} Contact -
<font></b><BR><BR>

<form method=post action="{{CGI}}">
<input type=hidden name=action value="do_modify_contact">
<input type=hidden name=type value="{{type}}">

<TABLE BORDER=1 width=550 cellpadding=3 cellspacing=0>
<TR>
<TD COLSPAN=2 bgcolor="#d0d0d0" align=center>
<B><FONT face="verdana, arial" size=2>
{{contact_type}} Contact Information</FONT></B>
</TD>
</TR>

<TR>
<TD ALIGN=right bgcolor="#d0d0d0">
<font face="verdana, arial" size=2><B>Organization Name:</B></font></TD>
<TD>{{org_name}}&nbsp;</TD>
<!-- CIRA doesn't support it in a regular way<TD><input name="org_name" size=49 value="{{org_name}}"></TD> -->
</TR>

<TR>
<TD ALIGN=right bgcolor="#d0d0d0">
<font face="verdana, arial" size=2><B>Legal Type:</B></font></TD>
<TD>{{legal_type_field}}</TD>
</TR>

<TR>
<TD ALIGN=right bgcolor="#d0d0d0">
<font face="verdana, arial" size=2><B>Description:</B></font></TD>
<TD>
   <TEXTAREA COLS=49 ROWS=10 name='description'>{{description}}</TEXTAREA>
</TD>
</TR>

<TR>
<TD ALIGN=right bgcolor="#d0d0d0">
<font face="verdana, arial" size=2><B>*CWA Flag:</B></font></TD>
<TD>{{cwa_field}}</TD>
</TR>

<TR>
<TD COLSPAN=2 ALIGN=center bgcolor="#d0d0d0">
<font face="verdana, arial" size=2><b>
* Setting the CWA (Change Without Approval) flag will allow your registrar (Tucows) 
 to modify your email address without submitting the request to the registry 
 (CIRA) for processing. If you set this flag to yes, you will be required to 
 confirm this change at:
<b>
<br><br>
<a href="https://registrants.cira.ca/user">https://registrants.cira.ca/user</a>
</font>
</TD>
</TR>





</table>
<BR>

<BR>
<input type=submit name=submit value="Save Configuration"> 
<input type=submit name=submit value="Cancel Changes">
<BR><BR><BR>
