<link href="template.css" rel="stylesheet" type="text/css" />
<div class="fabrik_title">{FABRIK_TITLE}</div>
<div class="fabrik_intro">{FABRIK_INTRO}</div>
<div class="fabrik_intro">{FABRIK_ERROR}</div>
<div class="group_title">{GROUP6_TITLE}</div>
<div class="group_body">
<table>
<tr>
<td width="110">{GROUP6_LOGIN_USERNAME_LABEL}</td>
<td>{GROUP6_LOGIN_USERNAME_RO}</td>
</tr>
<tr>
<td width="110">{GROUP6_LOGIN_LOGINID_LABEL}</td>
<td>{GROUP6_LOGIN_LOGINID_RO}</td>
</tr>
<tr>
<td width="110">{GROUP6_LOGIN_EMAIL_LABEL}</td>
<td>{GROUP6_LOGIN_EMAIL_RO}</td>
</tr>
<tr>
<td width="110">{GROUP6_LOGIN_IP_LABEL}</td>
<td>{GROUP6_LOGIN_IP_RO}</td>
</tr>
</table>
</div>
<div class="group_title">{GROUP2_TITLE}</div>
<div class="group_body">
<table>
<tr>
<td width="110">{GROUP2_SHIPTO_COMPANY_NAME_LABEL}</td>
<td>{GROUP2_SHIPTO_COMPANY_NAME}</td>
</tr>
<tr>
<td width="110">{GROUP2_SHIPTO_STREET_ADDRESS_1_LABEL}</td>
<td>{GROUP2_SHIPTO_STREET_ADDRESS_1}</td>
</tr>
<tr>
<td width="110"> </td>
<td>{GROUP2_SHIPTO_STREET_ADDRESS_2}</td>
</tr>
<tr>
<td width="110">{GROUP2_SHIPTO_CITY_LABEL}</td>
<td>{GROUP2_SHIPTO_CITY}</td>
</tr>
<tr>
<td width="110">{GROUP2_SHIPTO_STATE_LABEL}</td>
<td>{GROUP2_SHIPTO_STATE}</td>
</tr>
<tr>
<td width="110">{GROUP2_SHIPTO_ZIP_LABEL}</td>
<td>{GROUP2_SHIPTO_ZIP}</td>
</tr>
</table>
</div>
<div class="group_title">{GROUP5_TITLE}</div>
<div class="group_body">
<table>
<tr>
<td width="110">{GROUP5_SHIPPING_CARRIER_LABEL}</td>
<td>{GROUP5_SHIPPING_CARRIER}</td>
</tr>
<tr>
<td width="110">{GROUP5_SHIPPING_METHOD_LABEL}</td>
<td>{GROUP5_SHIPPING_METHOD}</td>
</tr>
<tr>
<td width="110"> </td>
<td>{GROUP5_SHIPPING_COLLECTINFO}</td>
</tr>
<tr>
<td width="110">{GROUP5_SHIPPING_ACCOUNT_LABEL}</td>
<td>{GROUP5_SHIPPING_ACCOUNT}</td>
</tr>
<tr>
<td width="110"> </td>
<td>{GROUP5_SHIPPING_SAMEDAY}</td>
</tr>
</table>
</div>
<div class="group_title">{GROUP5_TITLE}</div>
<div class="group_body">
<table>
<tr>
<td style="padding-right:5px;">Line:</td>
<td style="padding-right:5px;">{GROUP4_SIM_QTY_LABEL}</td>
<td style="padding-right:5px;">Cost:</td>
<td style="padding-right:5px;">{GROUP4_SIM_TOTAL_LABEL}</td>
</tr>
<tr>
<td style="padding-right:5px;">10</td>
<td style="padding-right:5px;">{GROUP4_SIM_QTY}</td>
<td style="padding-right:5px;">{GROUP4_SIM_COST}</td>
<td style="padding-right:5px;">{GROUP4_SIM_TOTAL}</td>
</tr>
</table>
</div>
<div class="group_title">{GROUP7_TITLE}</div>
<div class="group_body">
<table>
<tr>
<td style="padding-right:5px;">Line:</td>
<td style="padding-right:5px;">{GROUP7_ACTIVATION_SIM_QTY_LABEL}</td>
<td style="padding-right:5px;">{GROUP7_ACTIVATION_RATE_LABEL}</td>
<td style="padding-right:5px;">{GROUP7_ACTIVATION_ADDON_LABEL}</td>
</tr>
<tr>
<td style="padding-right:5px;">20</td>
<td style="padding-right:5px;">{GROUP7_ACTIVATION_SIM_QTY}</td>
<td style="padding-right:5px;">{GROUP7_ACTIVATION_RATE}</td>
<td style="padding-right:5px;">{GROUP7_ACTIVATION_ADDON}</td>
</tr>
<tr>
<td>30</td>
<td>{GROUP7_ACTIVATION_SIM_QTY1}</td>
<td>{GROUP7_ACTIVATION_RATE1}</td>
<td>{GROUP7_ACTIVATION_ADDON1}</td>
</tr>
<tr>
<td>40</td>
<td>{GROUP7_ACTIVATION_SIM_QTY2}</td>
<td>{GROUP7_ACTIVATION_RATE2}</td>
<td>{GROUP7_ACTIVATION_ADDON2}</td>
</tr>
<tr>
<td>50</td>
<td>{GROUP7_ACTIVATION_SIM_QTY3}</td>
<td>{GROUP7_ACTIVATION_RATE3}</td>
<td>{GROUP7_ACTIVATION_ADDON3}</td>
</tr>
<tr>
<td>60</td>
<td>{GROUP7_ACTIVATION_SIM_QTY4}</td>
<td>{GROUP7_ACTIVATION_RATE4}</td>
<td>{GROUP7_ACTIVATION_ADDON4}</td>
</tr>
<tr>
<td>70</td>
<td>{GROUP7_ACTIVATION_SIM_QTY5}</td>
<td>{GROUP7_ACTIVATION_RATE5}</td>
<td>{GROUP7_ACTIVATION_ADDON5}</td>
</tr>
</table>
</div>
{FABRIK_REST_BUTTON}{FABRIK_SUBMIT_BUTTON}