<td><input name="chargeperiod" size="2" /> day(s)</td>
<td><input name="maxissueqty" size="3" /></td>
<td><input name="renewalsallowed" size="3" /></td>
<td><input name="chargeperiod" size="2" /> day(s)</td>
<td><input name="maxissueqty" size="3" /></td>
<td><input name="renewalsallowed" size="3" /></td>