<form method="post" action="[{$url_amp_self}]">
	<div class="BPHeader">[{$title}]</div>
	<fieldset class="full">
		<legend>[{t}]Base_datas[{/t}]</legend>
		<table class="BP">
			<tr>
				<td>[{$membership_name}]</td>
			</tr>
			<tr>
				<td>[{$membership_description}]</td>
			</tr>
			<tr>
				<td>[{$membership_url}]</td>
			</tr>
		</table>
	</fieldset>
	<table class="BP" style="width: 100%;">
		<tr><td align="center">[{$membership_submit}]</td></tr>
	</table>
</form>
