<h1>Add User</h1>
<hr />
<br />
{MESSAGE}
<form method="post" action="{SELF}">
<table>
<tr>
  <th>E-Mail:</th>
  <td><input type="text" name="data[email]" value="{EMAIL}"></td>
</tr>
<tr>
  <th>First Name:</th>
  <td><input type="text" name="data[first_name]" value="{FIRST_NAME}"></td>
</tr>
<tr>
  <th>Last Name:</th>
  <td><input type="text" name="data[last_name]" value="{LAST_NAME}"></td>
</tr>
<tr>
  <th>ACL:</th>
  <td>{ACLS}</td>
</tr>
<tr>
  <td colspan="5"><input type="submit" name="data[up]" value="Add User"></td>
</tr>
</table>
</form>