<form method="POST">
            <div class="fieldset unfinished">
                <div class="input input-text input-large">
                    <label for="page_title">Title<span class="tooltip" title="Required">*</span></label>
                    <input type="text" id="page_title" value="Home insurance">
                    <div class="bubble hide">
                        <a class="bubble-target revisions" href="#revisions-1"><i class="icon icon-revisions">Revisions</i></a>
                        <aside class="bubble-text bottom" id="revisions-1">
                            <b class="glyph"></b>
                            <h3>Revision History</h3>
                        </aside>
                    </div>
                    <div class="bubble hide">
                        <a class="bubble-target help" href="#helptext-2"><i class="icon icon-help">Help</i></a>
                        <aside class="bubble-text top" id="helptext-2">
                            <b class="glyph"></b>
                            Chose a template, fill the placeholders with content blocks, then add your content.
                        </aside>
                    </div>
                </div>
                <div class="input input-text">
                    <label for="page_url">Page URL<span class="tooltip" title="Required">°</span></label>
                    <input type="text" id="page_url" value="home/personal/home_insurance">
                    <div class="bubble hide">
                        <a class="bubble-target revisions" href="#revisions-4"><i class="icon icon-revisions">Revisions</i></a>
                        <aside class="bubble-text bottom" id="revisions-4">
                            <b class="glyph"></b>
                            <h3>Revision History</h3>
                        </aside>
                    </div>
                    <div class="bubble hide">
                        <a class="bubble-target help" href="#helptext-5"><i class="icon icon-help">Help</i></a>
                        <aside class="bubble-text top" id="helptext-5">
                            <b class="glyph"></b>
                            Chose a template, fill the placeholders with content blocks, then add your content.
                        </aside>
                    </div>
                </div>
            </div>


                <div class="fieldset unfinished">
                    <div class="input input-text">

                        Simple List Menu
                    </div>
                </div>

                <div class="fieldset unfinished">
                    <div class="input input-text">

                        Simple Back Navigation
                    </div>
                </div>

            <button type="submit" class="needs-styling">Save</button>
            <div style="display:none"><input type="hidden" name="csrfmiddlewaretoken" value="947c85f33b5525578e739c7ce99f253c"></div>
            </form>