Cliente

<?php echo $header; ?><?php echo $column_left; ?><?php echo $column_right; ?>

<div id="content"><?php echo $content_top; ?>

  <div class="breadcrumb">

    <?php foreach ($breadcrumbs as $breadcrumb) { ?>

    <?php echo $breadcrumb['separator']; ?><a href="<?php echo $breadcrumb['href']; ?>"><?php echo $breadcrumb['text']; ?></a>

    <?php } ?>

  </div>

  <h1><?php echo $form_heading; ?></h1>

 <div>

 <form name="frm" method="POST" action="">

 <table  border="0">

 <tr>

 <td width="30%"><?php echo $first_value;?></td>

 <td width="70%"><input type="text" name="first_value" /></td>

 </tr>

 <tr>

 <td ><?php echo $second_value;?></td>

 <td ><input type="text" name="second_value" /></td>

 </tr>

 <tr>

 <td ><?php echo $third_value;?></td>

 <td ><input type="text" name="third_value" /></td>

 </tr>

 <tr>

 <td ><?php echo $forth_value;?></td>

 <td ><input type="text" name="forth_value" /></td>

 </tr>

 </table>

 <div class="buttons">

    <div class="right"><input type="submit" class="button" value="<?php echo $button_continue; ?>" /></div>

  </div>

 </form>

 </div>

  <?php echo $content_bottom; ?></div>

<?php echo $footer; ?>