<h1>{#I-01#}</h1>

<form action="{#url#}" method="post">
	<input type="hidden" name="step" value="db" />
	<div class="input">
		<p>{#I-02#}</p>
		{#options#} <br /> <br />
		<p>
			<span style="color: red" class="warning">{#l21-03#}</span>
		</p>
	</div>

	<!-- begin buttons -->
	<div class="input">
		<input class="button" type="submit" value="{#I-03#}" />
	</div>
	<!-- end buttons -->
</form>
