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<form name="alias" method="post" action="" class="form-horizontal">
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<div id="edit_form" class="panel panel-default">
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<div class="panel-heading"><h4>{$PALANG.pEdit_alias_welcome}</h4></div>
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<div class="panel-body enable-asterisk">
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<input class="flat" type="hidden" name="token" value="{$smarty.session.PFA_token|escape:"url"}" />
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<p class="text-center"><em>{$PALANG.pEdit_alias_help}</em></p>
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<div class="form-group">
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<label class="col-md-4 col-sm-4 control-label">{$PALANG.alias}:</label>
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<div class="col-md-6 col-sm-8"><p class="form-control-static"><em>{$USERID_USERNAME}</em></p></div>
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</div>
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<div class="form-group">
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<label class="col-md-4 col-sm-4 control-label" for="fGoto">{$PALANG.to}:</label>
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<div class="col-md-6 col-sm-8">
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<textarea class="form-control" rows="4" cols="50" name="fGoto" id="fGoto">
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{foreach from=$tGotoArray item=address}
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{$address}
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{/foreach}
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</textarea>
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</div>
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</div>
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<div class="form-group">
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<label class="col-md-4 col-sm-4 control-label"></label>
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<div class="col-md-6 col-sm-8">
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<div class="radio">
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<label>
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<input type="radio" name="fForward_and_store" id="fForward_and_store1" value="1"{$forward_and_store}/>
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{$PALANG.pEdit_alias_forward_and_store}
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</label>
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</div>
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<div class="radio">
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<label>
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<input type="radio" name="fForward_and_store" id="fForward_and_store0" value="0" {$forward_only}/>
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{$PALANG.pEdit_alias_forward_only}
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</label>
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</div>
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</div>
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</div>
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</div>
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<div class="panel-footer">
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<div class="btn-toolbar" role="toolbar">
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<div class="btn-group pull-right">
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<input class="btn btn-primary" type="submit" name="submit" value="{$PALANG.save}" />
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<input class="btn btn-primary" type="submit" name="fCancel" value="{$PALANG.exit}" />
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</div>
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</div>
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</div>
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</div>
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</form>
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