----<fieldset>
<legend>$descr</legend>
<%IF $PAYM_ERROR THEN%>
  <div class="warning">
     <h3>[%INFO_FROM_PAY_SERVICE Information från betaltjänsten%]</h3>
     <p>$PAYM_ERROR</p>
  </div>
<%ENDIF%>

<form action="" method="post">
  <input type="hidden" name="REQUIRED_FIELDS" value="orgnr customer_type" />
  <table class="pay askfororgno" cellspacing="0" width="100%">
      <tr>
      <td class="logo">
        <img src="/__SYS__/DB/$logo_l" style="margin: 0 0 10px 0;" />
      </td>
    </tr>

<%IF $need_orgno OR $ccode != 'SE' THEN%>
    <tr>
      <td width="15%"><em><b>[%CUSTOMER_TYPE Kundtyp%]:</b></em></td>
      <td>
         <input type="radio" name="customer_type" value="PERSON" 
	   <%IF $Customer.customer_type == "PERSON" THEN%>checked="checked"<%ENDIF%> />
	 [%PERSON Privatperson%]
         <input type="radio" name="customer_type" value="COMPANY" 
	   <%IF $Customer.customer_type == "COMPANY" THEN%>checked="checked"<%ENDIF%> />
	 [%COMPAGNY Företag%]
         <input type="radio" name="customer_type" value="GOVERNMENT"
	   <%IF $Customer.customer_type == "GOVERNMENT" THEN%>checked="checked"<%ENDIF%> />
	 [%GOVERNMENT Stat/Kommun%]
      </td>
      </tr>

    <tr>
      <td><em><b>[%PERS_ORG Personnr/Orgnr.%]</b></em></td>
      <td><input type="text" name="orgnr" value="$orgnr" width="15" /> <%IF $ccode == 'DE' THEN%>[%KRED_DE_DDMMYY (DDMMÅÅÅÅ)%]<%ELSE%>[%AAMMDDNNNN (ÅÅMMDD-NNNN)%]<%ENDIF%></td>
      <%IF $UPDATE_PAYMENT_INFO THEN%>
      <td style="color:red">[%MISS_OR_BAD Saknas eller är felaktigt ifyllt%]</td>
      <%ENDIF%>
    </tr>
<%ENDIF%>

<%IF $need_gender THEN%>
    <tr>
      <td><em><b>[%GENDER Kön%]</b></em></td>
      <td><%SELECT FROM("[%MALE Man%]=>M|[%FEMALE Kvinna%]=>F") $gender%></td>
    </tr>
<%ENDIF%>

<%IF $need_houseno THEN%>
    <tr>
      <td><em><b>[%HOUSENO Husnummer%]</b></em></td>
      <td><input type="text" name="house_number" value="$house_number" width="15" /></td>
    </tr>
<%ENDIF%>

<%IF $need_houseext THEN%>
    <tr>
      <td><em><b>[%HOUSEEXT Houseextension%]</b></em></td>
      <td><input type="text" name="house_extension" value="$house_extension" width="15" /></td>
    </tr>
<%ENDIF%>

<%IF $need_cellno THEN%>
    <tr>
      <td><em><b>[%MOBILE Mobil tel%]</b></em></td>
      <td><input type="text" name="cellphone" value="$cellphone" width="15" /></td>
      <td style="color:red">[%MISS_OR_BAD Saknas eller är felaktigt ifyllt%]</td>
    </tr>
<%ENDIF%>

<%IF $need_email THEN%>
    <tr>
      <td><em><b>[%E_MAIL E-post%]</b></em></td>
      <td><input type="text" name="email" value="$email" width="15" /></td>
      <td style="color:red">[%MISS_OR_BAD Saknas eller är felaktigt ifyllt%]</td>
    </tr>
<%ENDIF%>

<%IF $need_salary THEN%>
    <tr>
      <th colspan="2">
      [%KREDITOR_NEED_SALARY För att handla med $descr så måste du ange din årsinkomst.%]
      </th>
    </tr>
    <tr>
      <td><em><b>[%YEARLYPAY Årsinkomst%]</b></em></td>
      <td><input type="text" name="yearly_salary" /></td>
    </tr>
<%ENDIF%>

<%IF $need_addr AND $addrs THEN%>
  <tr>
    <th>[%CHOOSE_ADDRESS Välj adress%]</th>
    <td>
      <select name="kreditor_addr_index">
      <%FETCH KreditorAddresses DISPLAY%>
        <option value="$idx">$addr</option>
      <%NEXTROW ENDFETCH%>
      </select>
    </td>
  </tr>
<%ENDIF%>


    <tr class="hollow">
      <td nowrap="nowrap" valign="top" colspan="3">
      <br />
        <input style="background-color: #00b04f; padding: 0px 13px 0px 13px; font-size: 14px; height: 30px; line-height: 30px; color: #fff; border: 0; margin:0; cursor:pointer;" type="submit" name="UPDATE_PAYMENT_INFO" value="[%PAY Betala%]" />
      </td>
    </tr>
  </table>

</form>
</fieldset>
<br />