--- /dev/null
+<% ntable("#cccccc") %>
+
+ <TR>
+ <TD ALIGN="right">Username</TD>
+ <TD>
+ <INPUT TYPE = "text"
+ NAME = "username"
+ VALUE = "<% $opt{'username'} %>"
+ SIZE = <% $ulen2 %>
+ MAXLENGTH = <% $ulen %>
+ >
+ </TD>
+ </TR>
+
+ <TR>
+ <TD ALIGN="right">Domain</TD>
+ <TD>
+ <SELECT NAME="domsvc">
+ <OPTION>(none)</OPTION>
+ </SELECT>
+ </TD>
+ </TR>
+
+ <TR>
+ <TD ALIGN="right">Password</TD>
+ <TD>
+ <INPUT TYPE = "text"
+ NAME = "_password"
+ VALUE = "<% $opt{'password'} %>"
+ SIZE = <% $pmax2 %>
+ MAXLENGTH = <% $passwordmax %>>
+ (blank to generate)
+ </TD>
+ </TR>
+
+ <TR>
+ <TD ALIGN="right">Access number</TD>
+ <TD><% FS::svc_acct_pop::popselector($opt{'popnum'}) %></TD>
+ </TR>
+
+</TABLE>
+
+<%init>
+
+#use FS::svc_acct_pop;
+
+my( %opt ) = @_;
+
+my $conf = new FS::Conf;
+
+#false laziness: (mostly) copied from edit/svc_acct.cgi
+#$ulen = $svc_acct->dbdef_table->column('username')->length;
+my $ulen = dbdef->table('svc_acct')->column('username')->length;
+my $ulen2 = $ulen+2;
+my $passwordmax = $conf->config('passwordmax') || 8;
+my $pmax2 = $passwordmax + 2;
+
+</%init>