<div class="maintitle">{L_AUTH_TITLE}</div>
<br />
<div class="genmed">{L_AUTH_EXPLAIN}</div>
<br />
<form method="post" action="{S_AUTH_ACTION}">
<table cellspacing="1" cellpadding="3" border="0" align="center" class="forumline">
<tr>
<th>{L_AUTH_SELECT}</th>
</tr>
<tr>
<td class="row1" align="center" height="30">{S_HIDDEN_FIELDS}{S_AUTH_SELECT}&nbsp;&nbsp; 
<input type="submit" value="{L_LOOK_UP}" class="mainoption" />&nbsp;</td>
</tr>
</table>
</form>
