<div class="span8">

				<form action="http://freedesigns.me/wp/newhost/whmcs-bridge/?ccce=domainchecker" method="post">

					<span  >WWW.</span>

          <input type="hidden" name="token" value="e0902be206e4cab39162f106bcab6b0e12ad0cfc" />
          <input type="hidden" name="direct" value="true" />
          <input type="text" name="domain" name="domain" required placeholder="Enter Your Domain">


					<select>


						<option>.com</option>


						<option>.net</option>


						<option>.it</option>


						<option>.mx</option>


						<option>.ca</option>


						<option>.tv</option>


			        </select>

                    <input type="submit" class="botton"  value="Search">

                </form>