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szurubooru/client/html/user_delete.tpl

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<div id='user-delete'>
<form>
<div class='input'>
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<ul>
<li>
<%= ctx.makeCheckbox({id: 'confirm-deletion', name: 'confirm-deletion', required: true, text: 'I confirm that I want to delete this account.'}) %>
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</li>
</ul>
</div>
<div class='messages'></div>
<div class='buttons'>
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<input type='submit' value='Delete account'/>
</div>
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</form>
</div>