<form action="{$this->ipsclass->base_url}" method="post" name="REG">
<input type="hidden" name="act" value="Reg" />
<input type="hidden" name="CODE" value="reval2" />
<div>{$this->ipsclass->lang['rv_ins']}</div><br />
<div class="borderwrap">
	<div class="maintitle">{$this->ipsclass->lang['rv_title']}</div>
	<table class='ipbtable' cellspacing="0">
		<tr>
			<td class="pformleft"><b>
<if="$this->ipsclass->vars['ipbli_usertype']=='username'">
{$this->ipsclass->lang['rv_name']}
<else />
{$this->ipsclass->lang['rv_email']}
</if>
</b></td>
			<td class="pformright"><input type="text" size="32" maxlength="64" name="username" value="$name" /></td>
		</tr>
	</table>
	<div class="formbuttonrow" align="center"><input class='button' type="submit" value="{$this->ipsclass->lang['rv_go']}" /></div>
</div>
</form>