<div id="additional_form">
  <p>
  Please type 'yes' to confirm this deletion.<br />
  You cannot undo this: <input type="text" name="yes" size="5" /><br />
  </p>
  <p>
  Enter the Site Administration (Super User) password to continue: 
  <input type="password" name="admin_pass" size="10" /><br />
  </p>
  <p><strong>WARNING:</strong> This is the final step.  When you 
  click continue these records will be deleted!</p>
</div>
