<form action="{SELF}" method="post">
<input type="hidden" name="data[aid]" value="{AID}">
{MESSAGE}
<h2>Account Information</h2>
<table width="400" class="bTable">
<tr>
<td>Account #</td>
<td> </td>
<td>{ACCOUNT_NUMBER}</td>
</tr>
<tr>
<td>Customer Since:</td>
<td> </td>
<td>{CUSTOMER_SINCE}</td>
</tr>
<tr>
<td>Status:</td>
<td> </td>
<td><select name="data['status']">{STATUS}</select></td>
</tr>
</table>
<h2>Company Information</h2>
<table width="400" class="bTable">
<tr>
<td>Company:</td>
<td> </td>
<td><input type="text" name="data[company]" value="{COMPANY}" size="30"></td>
</tr>
<tr>
<td>Address: </td>
<td> </td>
<td><input type="TEXT" name="data[address]" value="{ADDRESS}" size="30"></td>
</tr>
<tr>
<td>Address 2: </td>
<td> </td>
<td><input type="TEXT" name="data[address2]" value="{ADDRESS2}" size="30"></td>
</tr>
<tr>
<td>City:</td>
<td> </td>
<td><input type="TEXT" name="data[city]" value="{CITY}"></td>
</tr>
<tr>
<td>State:</td>
<td> </td>
<td><input type="TEXT" name="data[state]" value="{STATE}" SIZE="2"></td>
</tr>
<tr>
<td>Zip Code:</td>
<td> </td>
<td><input type="TEXT" name="data[zipcode]" value="{ZIPCODE}" SIZE="5"></td>
</tr>
<tr>
<td>Website:</td>
<td> </td>
<td><input type="text" name="data[website]" value="{WEBSITE}" size="30"></td>
<tr>
<tr>
<td colspan="2"></td>
<td><input type="submit" name="data[aiu]" value="Update Company Information" /></td>
</tr>
</table>
<h2>Guarantor Information</h2>
<table width="400" class="bTable">
<tr>
<td>Title:</td>
<td> </td>
<td><input type="text" name="data[title]" value="{TITLE}"></td>
</tr>
<tr>
<td>First Name:</td>
<td> </td>
<td><input type="TEXT" name="data[first_name]" value="{FIRST_NAME}"></td>
</tr>
<tr>
<td>Last Name:</td>
<td> </td>
<td><input type="TEXT" name="data[last_name]" value="{LAST_NAME}"></td>
</tr>
<tr>
<td>Telephone:</td>
<td> </td>
<td><input type="text" name="data[telephone]" value="{TELEPHONE}"></td>
</tr>
<tr>
<td>Fax:</td>
<td> </td>
<td><input type="text" name="data[fax]" value="{FAX}"></td>
</tr>
<tr>
<td>Cell:</td>
<td> </td>
<td><input type="text" name="data[cell]" value="{CELL}"></td>
</tr>
<tr>
<td>E-Mail:</td>
<td> </td>
<td><input type="text" name="data[email]" value="{EMAIL}" size="30"></td>
</tr>
<tr>
<td colspan="2"></td>
<td><input type="submit" name="data[aiu]" value="Update Guarantor Information" /></td>
</tr>
</table>
</form>
Christopher W. Olsen