<form method="post" action="[HOME_URL]">
  <table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
    <tr>
      <td>
        <table width="100%" border="0" cellspacing="1" cellpadding="6">
          <tr bgcolor="#244A75"> 
            <td colspan="2" height="20" align="center"><b>Change Email Address</b></td>
          </tr>
          <tr>
            <td bgcolor="#001E4B">Current Email Address</td>
            <td bgcolor="#001E4B">[USERS_EMAIL]</td>
          </tr>
          <tr> 
            <td bgcolor="#001E4B">New Email Address</td>
            <td bgcolor="#001E4B"> 
              <input type="text" name="new_email" size="60" maxlength="100">
            </td>
          </tr>
          <tr align="center" bgcolor="#001E4B"> 
            <td colspan="2"> 
              <input type="hidden" name="td" value="ul_change_email">
              <input type="submit" name="Submit" value="Change Email">
            </td>
          </tr>
        </table>
      </td>
    </tr>
  </table>
</form>
