_template
%%form_raw{image}%%

%%form_data{description}%%

Region: %%form_data{region}%%

Contact: %%form_data{contact}%%

Address: %%form_data{address}%%

Telephone: %%form_data{telephone}%%

Email:


%%form_data{email}%%

Website: %%form_data{website}%%

====

[[form]]
fields:
  address:
    label: Address
    type: text
    width: 75
  description:
    label: Description
    type: text
    width: 75
    height: 20
  region:
    label: Region
    type: select
    values:
      1: New England
      2: NYC
      3: South East
      4: South
      5: Southwest
      6: Northwest
      7: Midwest
      8: California
  state:
    label: State
    type: select
    values:
      1: NY
      2: FL
      3: IN
      4: CA
  type:
    label: Type
    type: select
    values:
      1: Artist
      2: Radio
      3: Venue
      4: Promoter
      5: PR
      6: Label
      7: Reviewer
      8: News
      9: Collaboration
  contact:
    label: Contact Name
    type: text
    width: 75
  telephone:
    label: Telephone
    type: text
    width:75
  email:
    label: Email
    type: wiki
  website:
    label: Website
    type: url
    width:75
  imagehint:
    type:static
    value: Click the button below to upload an image from your computer.
  image:
    label: Image
    type: file
[[/form]]

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