khosb/themes/default/blocks/affiliate/plugin_MAIL_CHECK.tpl

<table width="100%" border="0" cellspacing="3" cellpadding="1" class="row1">
	<tr valign="top">
		<td style="width: 50%;">{t}Make Commission Checks Payable To{/t}</td>
		<td style="width: 50%;"><input type="text" name="affiliate_plugin_data[payee]" value="{$plugin_data.payee}"/></td>
	</tr>
	<tr valign="top">
		<td style="width: 50%;">{t}Address{/t}</td>
		<td style="width: 50%;"><input type="text" name="affiliate_plugin_data[address]" value="{$plugin_data.address}" size="40"/></td>
	</tr>
	<tr valign="top">
		<td style="width: 50%;">{t}City{/t}</td>
		<td style="width: 50%;"><input type="text" name="affiliate_plugin_data[city]" value="{$plugin_data.city}" size="20"/></td>
	</tr>
	<tr valign="top">
		<td style="width: 50%;">{t}State{/t}</td>
		<td style="width: 50%;"><input type="text" name="affiliate_plugin_data[state]" value="{$plugin_data.state}" size="20"/></td>
	</tr>
	<tr valign="top">
		<td style="width: 50%;">{t}Postal Code{/t}</td>
		<td style="width: 50%;"><input type="text" name="affiliate_plugin_data[zip]" value="{$plugin_data.zip}" size="20"/></td>
	</tr>
	<tr valign="top">
		<td style="width: 50%;">{t}Contact E-mail{/t}</td>
		<td style="width: 50%;"><input type="text" name="affiliate_plugin_data[email]" value="{$plugin_data.email}" size="20"/></td>
	</tr>
</table>