{{ inc $field_input with $field=$baseurl }}{{ endinc }}
{{ inc $field_input with $field=$siteid }}{{ endinc }}
{{ inc $field_checkbox with $field=$optout }}{{ endinc }}
{{ inc $field_checkbox with $field=$async }}{{ endinc }}
<div class="submit"><input type="submit" name="page_site" value="$submit" /></div>