[% META title = 'Admin &raquo; Delete Organisation Map' -%]

	[% # PROCESS dumper.tt dump = c.param('id') %]

    <h3>Confirm you really want to delete this map entry:</h3>

	<p class="indent">[Note this only deletes the <i>mapping</i> between the two
	locations, not the location itself]</p>
	<form method="post" action="[% app_url %]/config/organisation-map/delete/[% map.id %]" />

    <p class="indent">
		<b>[% map.referral_source.display_name %] :: [% map.region_prefix | upper %]</b>
        <input type="checkbox" name="confirm_delete" value="1">
		<input type='submit' value='Delete' name='.submit' class='button' />
    </p>

	<p>
		[% site.html.back_button %]
	</p>
    </form>