<h1>VoIP Extension List</h1>
<hr />
{MESSAGE}
<form method="POST">
<input type="hidden" name="data[ext]" VALUE="{EXTENSION}">
<table class="bTable">
<tr>
  <td>Extension:</td>
  <td>{EXTENSION}</td>
</tr>
<tr>
  <td>Caller ID Name:</td>
  <td><input type="text" name="data[callerid_name]" value="{CALLERID_NAME}"></td>
  <td>Caller ID Number:</td>
  <td>Number: <input type="text" name="data[callerid_number]" value="{CALLERID_NUMBER}"></td>
</tr>
<tr>
  <td>Secret:</td>
  <td><input type="text" name="data[secret]" value="{SECRET}"></td>
  <td>Update Voicemail:</td>
  <td><input type="checkbox" name="data[uvm]" value="1" checked></td> 
</tr>
<tr>
  <td>&nbsp;</td>
  <td><input type="submit" name="data[up]" value="Update"></td>
  <td>&nbsp;</td>
  <td>&nbsp;</td>
</tr>
</table>
</form>