{header}
<table width="100%" border="0" cellpadding="2" cellspacing="6">
  <tr>
    <td><br />
   		<form  method="POST">
			<input type="hidden" name="cmd" value="update">
        <table width="100%" border="0" cellpadding="0" cellspacing="0" class="tableborder">
          <tr class="header">
            <td>{l_gold}</td>
			<td>{l_silver}</td>
			<td>{l_platinum}</td>
          </tr>
		  <!-- begin_item  -->
				<tr>
					<td class="altbg1" ><input type="checkbox" name="gold[{item}]" value="{gold_code}" {gold_checked}>{gold_name}</td>
					
					<td class="altbg2" ><input type="checkbox" name="silver[{item}]" value="{silver_code}" {silver_checked}>{silver_name}</td>
					
					<td class="altbg1" ><input type="checkbox" name="platinum[{item}]" value="{platimun_code}" {platinum_checked}>{platimun_name}</td>
					
					
				</tr>
			<!-- end_item -->
        </table>
		<center>
          <input class="button" type="submit" value="{l_modify}">
        </center>
        </form>
</td>
  </tr>
</table>
{footer}