{header}
{menu}
<div class="body_center" style="width:737px;" >
	<div class="body_header">
    	<div style="float: left;">
			<img src="{base_url}img{theme_path}ico_account_info_big.png" width="32" height="32"alt="Registration">
		</div>
        <div class="header_pad">
            <div class="header_subject"><{user_payment_form_header}></div>
            <div class="header_comment"><{user_payment_form_subheader}></div>
        </div>
	</div>
    {error_message}
    <form method="post" action="{action}" style="margin:0px;padding:0px;display:inline;" >
    	<table class="settings" align="center" style="margin-top: 10px;" >
        {payment_add_fields}
          	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_name}> <span style="color: red;">*</span></td>
            	<td><input name="billing_name" value="{billing_name}" type="text" style="width: 350px;" /></td>
          	</tr>
        {if_need_billing_info}
        	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_country}> <span style="color: red;">*</span></td>
            	<td>
	                <select name="country" style="width: 300px;">
    	            <option label="[Select Country]" value="">[Select Country]</option>
        	        <option label="United States" value="US">United States</option>
					{countries}
						<option {if_post_country} selected="true" {/if_post_country} label="{name}" value="{code}">
							{name}
						</option>
					{/countries}
            	    </select>
            	</td>
          	</tr>
          	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_state}> <span style="color: red;">*</span></td>
            	<td>
              		<select name="state" style="width: 200px;">
                	<option label="[Select State]" value="" >[Select State]</option>
               		{states}
						<option {if_post_state} selected="true" {/if_post_state} label="{name}" value="{code}">
							{name}
						</option>
					{/states}
        	      </select>
            	</td>
          	</tr>
          	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_city}> <span style="color: red;">*</span></td>
            	<td>
					<input type="text" name="city" value="{if_post_city}{post_city}{/if_post_city}{else_post_city}{post_city}{/else_post_city}" style="width: 350px;" />
				</td>
          	</tr>
          	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_zip}> <span style="color: red;">*</span></td>
            	<td>
					<input type="text" name="zip" value="{if_post_zip}{post_zip}{/if_post_zip}{else_post_zip}{post_zip}{/else_post_zip}" style="width: 100px;"/>
				</td>
          	</tr>
          	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_address1}> <span style="color: red;">*</span></td>
            	<td>
				<input type="text" name="street" value="{if_post_street}{post_street}{/if_post_street}{else_post_street}{post_street}{/else_post_street}" style="width: 350px;" />
				</td>
          	</tr>
          	<tr class="glav">
            	<td align="right"><{user_profile_billing_update_telno}> <span style="color: red;">*</span></td>
            	<td>
				<input type="text" name="phone" value="{if_post_phone}{post_phone}{/if_post_phone}{else_post_phone}{post_phone}{/else_post_phone}" style="width: 100px;"/>
				</td>
          	</tr>
		{/if_need_billing_info}
        </table>
        <input type="hidden" name="submit_action" value="order" >
        <div class="after_table" style="padding-top: 10px; padding-bottom: 30px;">
          	<input type="submit" class="button" value="Order"  />&nbsp;
  	</form>
        	<form method="post" action="{url_cart}" style="margin:0px;padding:0px;display:inline;">
        		<input type="submit" class="button_big" value="<{user_payment_form_btn_cancel}>" />
        	</form>
        </div>
</div>
{footer}