					<img src="<?php Theme::Path(); ?>itemTop.png" width="530" height="10" alt="---" align="absbottom" />
					<form name="edit" method="post" action="<?php e($this->_vars['action']['url']); ?>">
						<?php HTML::requires(); ?>
						<div class="listrow"><h2><img src="<?php e(BASE_URL); ?>resource/img/icons/user_cancel.gif" width="16" height="16" align="absmiddle" alt="&gt;" />&nbsp;<?php _e('Account Cancel'); ?></h2></div>
<?php if ($this->_vars['action']['complete']): ?>
						<div class="listplain">
							<?php _e('Canceled your membership.'); ?><br /><br /><?php loadPlugin::callFunc('hitsuji_banner', POSITION_MIDDLE); ?><br />
						</div>
<?php elseif ($this->_vars['action']['confirm']): ?>
						<div class="listrow">
							<label class="column"><?php _e('Reason'); ?>:</label>
							<div class="fdata"><?php HTML::nl2br($this->_vars['act_cancel']['reason']); ?></div>
						</div>
						<div class="listplain">
							<input type="submit" name="manip" value="<?php _e('Submit'); ?>" style="width:120px;" />&nbsp;&nbsp;&nbsp;&nbsp;
							<input type="submit" name="<?php e($this->_vars['action']['goback']); ?>" value="<?php _e('Go back'); ?>" style="width:100px;" />
						</div>
<?php else: ?>
						<div class="listrow">
							<label class="column"><?php _e('Reason'); ?>:</label>
							<div class="fdata">
								<?php if (!empty($this->_vars['alert']['reason'])): ?><span class="alert"><?php _e('Please enter.'); ?></span><br /><?php endif; ?>
								<textarea name="reason" cols="40" rows="6"><?php e($this->_vars['act_cancel']['reason']); ?></textarea>
							</div>
						</div>
						<div class="listplain"><input type="submit" name="confirm" value="<?php _e('Confirm'); ?>" style="width:120px;" /></div>
<?php endif; ?>
					</form>
					<img src="<?php Theme::Path(); ?>itemBottom.png" width="530" height="10" alt="___" align="top" />