
{form_declaration}

<table class="tableborder" cellpadding="0" cellspacing="0" border="0" style="width:560px;" align="center">
<tr>
	<td class="profileAlertHeadingBG" colspan="2">{lang:mbr_delete}</td>
</tr>
<tr>
	<td class="tableRowHeadingBold" colspan="2">{lang:confirm_password}</td>
</tr>
<tr>
	<td class="tableCellOne" align="right"><b>{lang:password}</b></td>
	<td class="tableCellOne"><input type="password" style="width:80%" class="input" name="password" size="20" value="" maxlength="{password_max_length}" /></td>
</tr>
<tr>
	<td class="tableCellOne" colspan="2">
		<div class="itempadbig">{lang:mbr_delete_blurb}</div>
		<div class="itempadbig alert">{lang:mbr_delete_warning}</div>
	</td>
</tr>
<tr>
	<td class="tableCellTwo" colspan="2"><div class="itempadbig"><input type="submit" class="submit" value="{lang:submit}" /></div></td>
</tr>
</table>

</form>
