{JAVASCRIPTCODE}
{TXT_TITLE}
{TXT_EMAIL_ADDRESS}
{TXT_USER_TITLE} {TXT_NEWSLETTER_FEMALE} {TXT_NEWSLETTER_MALE}
{TXT_LASTNAME}
{TXT_FIRSTNAME}
{TXT_STREET}
{TXT_ZIP}
{TXT_CITY}
{TXT_COUNTRY}
{TXT_PHONE}
{TXT_BIRTHDAY}
{TXT_CATEGORIES} {CATEGORY_SELECT}