+<TR>
+ <TD ALIGN="right">Charge date </TD>
+ <TD>
+ <INPUT TYPE = "text"
+ NAME = "start_date"
+ SIZE = 32
+ ID = "start_date_text"
+ VALUE = "<% $start_date %>"
+ >
+ <IMG SRC = "../images/calendar.png"
+ ID = "start_date_button"
+ STYLE = "cursor: pointer"
+ TITLE = "Select date"
+ >
+ <FONT SIZE=-1>(leave blank to charge immediately)</FONT>
+ </TD>
+</TR>
+
+<SCRIPT TYPE="text/javascript">
+ Calendar.setup({
+ inputField: "start_date_text",
+ ifFormat: "%m/%d/%Y",
+ button: "start_date_button",
+ align: "BR"
+ });
+</SCRIPT>
+
+
+<TR>
+ <TD ALIGN="right">Tax exempt </TD>
+ <TD><INPUT TYPE="checkbox" NAME="setuptax" VALUE="Y" <% $cgi->param('setuptax') ? 'CHECKED' : '' %>></TD>
+</TR>
+