<form method="post" action="{url_member}" enctype="multipart/form-data" onsubmit="uploadbutton.disabled=true;">
  <input type="hidden" name="action" value="uploadimage" />
  {if cat_id}<input type="hidden" name="cat_id" value="{cat_id}" />{endif cat_id}
  <table width="100%" border="0" cellspacing="0" cellpadding="1">
    <tr>
      <td valign="top" class="head1">
        <table width="100%" border="0" cellpadding="4" cellspacing="0">
          <tr>
            <td colspan="2" valign="top" class="head1">{lang_user_upload}</td>
          </tr>
          <tr>
            <td class="row1"><b>{lang_category}</b></td>
            <td class="row1">{cat_name}</td>
          </tr>
          <tr>
            <td class="row2" valign="top">
			  <b>{lang_media_file}</b><br />
			  <span class="smalltext">
			  {lang_max_filesize}<b>{max_media_filsize}</b><br />
			  {lang_max_imagewidth}<b>{max_media_imagewidth}</b><br />
			  {lang_max_imageheight}<b>{max_media_imageheight}</b><br />
			  </span>
			</td>
            <td class="row2">
			  <input type="file" name="media_file" class="input" /><br />
			  <span class="smalltext"><b>{lang_allowed_file_types}</b> {allowed_media_types}</span>
            </td>
          </tr>
          <tr>
            <td class="row1"><b>{lang_image_name}</b></td>
            <td class="row1"><input type="text" name="image_name"  size="30" value="{image_name}" class="input" /></td>
          </tr>
          <tr>
            <td class="row2" valign="top"><b>{lang_description}</b></td>
            <td class="row2">
              <textarea name="image_description" cols="30" class="textarea" rows="10" wrap="VIRTUAL">{image_description}</textarea>
            </td>
          </tr>
          <tr>
            <td class="row1" valign="top"><b>{lang_keywords}</b></td>
            <td class="row1">
              <textarea cols="30" class="textarea" rows="10" wrap="VIRTUAL" name="image_keywords">{image_keywords}</textarea>
            </td>
          </tr>
					{if captcha_upload}
          <tr>
            <td class="row2" valign="top"><b>{lang_captcha}</b></td>
            <td class="row2">
						  <a href="javascript:new_captcha_image();"><img src="{url_captcha_image}" border="0" id="captcha_image" /></a> <br />
              <input type="text" name="captcha" size="30" value="" class="commentinput" id="captcha_input" />
              <br />
              {lang_captcha_desc}
						</td>
          </tr>
          {endif captcha_upload}
        </table>
      </td>
    </tr>
  </table>
  <p align="center">
    <input type="submit" name="uploadbutton" value="{lang_submit}" class="button" />
    <input type="reset" value="{lang_reset}" class="button" />
  </p>
</form>