echo decode_text($last_name); ?> " autocomplete='off' /></td> </tr> <tr> <td align="<?php echo Application::Get('defined_right'); ?> "><?php echo _BIRTH_DATE; ?> </td> <td> </td> <td nowrap="nowrap"> <?php draw_date_select_field('birth_date', $birth_date, '90', '0'); ?> </td> </tr> <tr> <td align="<?php echo Application::Get('defined_right'); ?> "><?php echo _WEB_SITE; ?> </td> <td> </td> <td nowrap="nowrap"><input type="text" id="url" name="url" size="32" maxlength="255" value="<?php echo decode_text($url); ?>
</td> <td><span class="required">*</span></td> <td nowrap="nowrap"><input type="text" id="last_name" name="last_name" size="32" maxlength="32" value="<?php echo decode_text($customer_info['last_name']); ?> " /></td> </tr> <tr> <td align="right"><?php echo _BIRTH_DATE; ?> </td> <td> </td> <td> <?php draw_date_select_field('birth_date', $customer_info['birth_date'], '90', '0'); ?> </td> </tr> <tr> <td align="right"><?php echo _WEB_SITE; ?> </td> <td> </td> <td nowrap="nowrap"><input type="text" id="url" name="url" size="32" maxlength="255" value="<?php echo decode_text($customer_info['url']); ?> " /></td> </tr>