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<dl>
<dt><label for="confirm_code">{L_CONFIRM_CODE}:</label></dt>
<dd><img src="{CONFIRM_IMAGE}" alt="" /></dd>
<dd><input type="text" name="confirm_code" id="confirm_code" size="8" maxlength="8" class="inputbox narrow" title="{L_CONFIRM_CODE}" />
<input type="hidden" name="confirm_id" id="confirm_id" value="{CONFIRM_ID}" /></dd>
<dd>{L_CONFIRM_CODE_EXPLAIN}</dd>
</dl>
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