	<tr>
		<td width="200" class="FieldLabel">
			{template="Not_Required"}%%GLOBAL_FieldName%%:&nbsp;
		</td>
		<td>
			<input type="text" name="CustomFields[%%GLOBAL_FieldID%%]" value="%%GLOBAL_FieldValue%%" class="Field250">&nbsp;%%LNG_HLP_Filter_Text%%
		</td>
	</tr>
