+ <div class="crm-block crm-form-block crm-miscellaneous-form-block">
+ <p>{ts}You are requesting to unsubscribe this email address:{/ts}</p>
+ <h3>{$email_masked}</h3>
+ <p>{ts}If this is not your email address, there is no need to do anything. You have <i><b>not</b></i> been added to any mailing lists. If this is your email address and you <i><b>wish to unsubscribe</b></i> please enter your email address below for verification purposes:{/ts}</p>
+ <table class="form-layout">
+ <tbody>
+ <tr>
+ <td class="label">{$form.email_confirm.label}</td>
+ <td class="content">{$form.email_confirm.html}</td>
+ </tr>
+ </tbody>
+ </table>
+ <div class="crm-submit-buttons">
+ {include file="CRM/common/formButtons.tpl" location="bottom"}
+ </div>
+ <br/>
+ </div>
+ {/if}