{capture name="display"} 
    <input name="itgc_id" type="hidden" id="itgc_id" value="{$itgc_id}" />
    <input name="itgt_id" type="hidden" id="itgt_id" value="{$itgt_id}" />
    <input name="formAction" type="hidden" id="itgt_id" value="{$formAction}" />

    <table width="100%" class="formCad" border="0" cellspacing="0" cellpadding="2">
        <tr align="center" valign="middle" >
            <td height="50" colspan="2">
                <img src="imgSite/usuarios.gif" width="32" height="32" align="absmiddle"><span class="formHed">Integra&ccedil;&atilde;o Ativa</span></td>
        </tr>
        <tr>
            <th width="150" align="left" nowrap>Selecione o Banco</th>
            <td>
                <select name="itgp_id" id="itgp_id">
                    {$itgp_descricao}
                </select>
            </td>
        </tr>
        <tr>
            <th align="left">Nome Conex&atilde;o / Provedor</th>
            <td align="left"><input name="itgc_nome" type="text" id="itgc_nome" value="{$itgc_nome}" size="60" maxlength="64" /></td>
        </tr>
        <tr>
            <th align="left">Servidor / URL</th>
            <td align="left"><input name="itgc_host" type="text" id="itgc_host" value="{$itgc_host}" size="60" maxlength="1024" /></td>
        </tr>
        <tr>
            <th align="left">Porta / ID</th>
            <td align="left"><input name="itgc_port" type="text" id="itgc_port" value="{$itgc_port}" size="15" maxlength="20" /></td>
        </tr>
        <tr>
            <th align="left">Base de Dados / Token</th>
            <td align="left"><input name="itgc_database" type="text" id="itgc_database" value="{$itgc_database}" size="30" maxlength="64" /></td>
        </tr>
        <tr>
            <th align="left">Usu&aacute;rio / User</th>
            <td align="left"><input name="itgc_user" type="text" id="itgc_user" value="{$itgc_user}" size="30" maxlength="32" /></td>
        </tr>
        <tr>
            <th align="left">Senha / Passwd</th>
            <td align="left"><input name="itgc_password" type="password" id="itgc_password" value="{$itgc_password}" size="30" maxlength="20" /></td>
        </tr>
        <tr>
            <th align="left">Timeout / SSL</th>
            <td align="left"><input name="itgc_timeout" type="text" id="itgc_timeout" value="{$itgc_timeout}" size="10" maxlength="3" /></td>
        </tr>
        <tr>
            <th align="left">Op&ccedil;&atilde;o</th>
            <td align="left">
                <select name="opcao" id="opcao" onchange="ajaxComboBox('admin/popula.php?id={$acao}', 'acao', 'opcao', '{$acao}');">>	       
                    {$opcao_descricao}         
                </select></td>
        </tr>
        <tr>
            <th align="left">A&ccedil;&atilde;o</th>
            <td align="left">
                <select  name="acao" id="acao">
                    {$acao_descricao}          
                </select>
            </td>
        </tr>
        <tr>
            <th align="left">&nbsp;</th>
            <td><input name="btGravar" type="submit" id="btGravar" value="Gravar">        </td>
        </tr>
        <tr>
            <th align="left">&nbsp;</th>
            <th>&nbsp;</th>
        </tr>
    </table>
{/capture}