{config_load file="$language/lang_$language.conf" section="account_edit"}
| {#csID#} | {$csID} |
| {#text_gender#} | {$INPUT_GENDER} |
| {#text_firstname#} | {$INPUT_FIRSTNAME} |
| {#text_lastname#} | {$INPUT_LASTNAME} |
| {#text_birthdate#} | {$INPUT_DOB}{$TEXT_DOB_NOTE} |
| {#text_email#} | {$INPUT_EMAIL} |
| {#text_confirm_email#} | {$INPUT_CONFIRM_EMAIL} |
| {#text_tel#} | {$INPUT_TEL} |
| {#text_fax#} | {$INPUT_FAX} |
| {#text_ustid#} | {$INPUT_VAT}{$TEXT_VAT_NOTE} |
{$BUTTON_BACK} {$BUTTON_SUBMIT}
{$FORM_END}