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<td style="padding:0 5px 5px 0;">Amount €</td>
<td style="padding:0 5px 5px 0;"><input maxlength="250" name="amount" type="text" value="</nowiki><span style="color:#008acc;">[PRICEPRICENUM:50%]</span>"<nowiki></td>
</tr>
<tr>
<td style="padding:0 5px 5px 0;"><input name="on0" type="hidden" value="reference" />Reference</td>
<td style="padding:0 5px 5px 0;"><input maxlength="250" name="os0" type="text" value="[REFERENCENUMBERBOOKID]" /></td>
</tr>
<tr>
