<td><input type="text" name="username" value="<TMPL_VAR NAME=Username>"/></td>
<td><input type="checkbox" name="c:username"/></td>
</tr>
+ <tr><td>Email</td>
+ <td><input type="text" name="email" value="<TMPL_VAR NAME=Email>"/></td>
+ <td><input type="checkbox" name="c:email"/></td>
+ </tr>
+ <tr><td>SMS</td>
+ <td><input type="text" name="sms" value="<TMPL_VAR NAME=SMS>"/></td>
+ <td><input type="checkbox" name="c:sms"/></td>
+ </tr>
<tr><td>Host</td>
<td><input type="text" name="hostmask" value="<TMPL_VAR NAME=Hostmask>"/></td>
<td><input type="checkbox" name="c:hostmask"/></td>