<%Condition
  c.arg="ERRSTR"
  c.template={<BLOCKQUOTE><%ERRSTR%></BLOCKQUOTE><P>}
%>

<TABLE BORDER="0">

<TR>
<TD><STRONG><%REF_NAME.TEXT/h%>:</STRONG></TD>
<TD><%REF_NAME.HTML%></TD>
</TR>

<TR>
<TD><%METHOD.TEXT/h%>:</TD>
<TD><%METHOD.HTML%></TD>
</TR>

<TR>
<TD><%NUMBER.TEXT/h%>:</TD>
<TD><%NUMBER.HTML%></TD>
</TR>

<TR>
<TD>Expiration:</TD>
<TD><%EXPIRE_MONTH.HTML%> <%EXPIRE_YEAR.HTML%></TD>
</TR>

<TR>
<TD><STRONG><%NAME.TEXT/h%>:</STRONG></TD>
<TD><%NAME.HTML%></TD>
</TR>

<TR>
<TD><STRONG><%LINE_1.TEXT/h%>:</STRONG></TD>
<TD><%LINE_1.HTML%></TD>
</TR>

<TR>
<TD><%LINE_2.TEXT/h%>:</TD>
<TD><%LINE_2.HTML%></TD>
</TR>

<TR>
<TD><STRONG><%CITY.TEXT/h%>:</STRONG></TD>
<TD><%CITY.HTML%></TD>
</TR>

<TR>
<TD><STRONG><%STATE.TEXT/h%>:</STRONG></TD>
<TD><%STATE.HTML%></TD>
</TR>

<TR>
<TD><STRONG><%ZIPCODE.TEXT/h%>:</STRONG></TD>
<TD><%ZIPCODE.HTML%></TD>
</TR>

<TR>
<TD><%PHONE.TEXT/h%>:</TD>
<TD><%PHONE.HTML%></TD>
</TR>

<TR>
<TD></TD>
<TD><INPUT TYPE="SUBMIT" VALUE=" Store! " NAME="done"></TD>
</TR>

</TABLE>
