<div class='page-header'>
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<h1><tmpl_var name="list_head_txt"></h1>
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</div>
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<p><tmpl_var name="list_desc_txt"></p>
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<div class="form-group">
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<label for="server_id" class="col-sm-3 control-label">{tmpl_var name='server_id_txt'}</label>
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<div class="col-sm-9"><select name="server_id" id="server_id" class="form-control">
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{tmpl_var name='server_id'}
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</select></div>
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</div>
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<div class="form-group">
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<label for="domain" class="col-sm-3 control-label">{tmpl_var name='domain_txt'}</label>
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<div class="col-sm-9"><input type="text" name="domain" id="domain" value="{tmpl_var name='domain'}" class="form-control" /></div></div>
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<div class="form-group">
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<label for="type" class="col-sm-3 control-label">{tmpl_var name='type_txt'}</label>
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<div class="col-sm-9"><select name="type" id="type" class="form-control">
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{tmpl_var name='type'}
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</select></div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">{tmpl_var name='mx_txt'}</label>
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<div class="col-sm-9"><input class="form-control" type="checkbox" value="y" id="mx" name="mx" {tmpl_var name='mx'} /></div>
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</div>
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<div class="form-group">
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<label for="destination" class="col-sm-3 control-label">{tmpl_var name='destination_txt'}</label>
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<div class="col-sm-9"><input type="text" name="destination" id="transport" value="{tmpl_var name='destination'}" class="form-control" /></div></div>
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<div class="form-group">
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<label for="sort_order" class="col-sm-3 control-label">{tmpl_var name='sort_order_txt'}</label>
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<div class="col-sm-9"><select name="sort_order" id="sort_order" class="form-control">
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{tmpl_var name='sort_order'}
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</select></div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">{tmpl_var name='active_txt'}</label>
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<div class="col-sm-9">
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{tmpl_var name='active'}
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</div>
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</div>
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<input type="hidden" name="id" value="{tmpl_var name='id'}">
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<div class="clear"><div class="right">
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<button class="btn btn-default formbutton-success" type="button" value="{tmpl_var name='btn_save_txt'}" data-submit-form="pageForm" data-form-action="mail/mail_transport_edit.php">{tmpl_var name='btn_save_txt'}</button>
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<button class="btn btn-default formbutton-default" type="button" value="{tmpl_var name='btn_cancel_txt'}" data-load-content="mail/mail_transport_list.php">{tmpl_var name='btn_cancel_txt'}</button>
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</div></div>
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