<div>
    <h1>Rename <span id="yukkiname">PageName</span></h1>

    <div class="dialog">
        <form method="POST" id="rename-attachment">
            <label for="yukkiname_new">Rename to:</label>
            <input id="yukkiname_new" name="yukkiname_new" type="text" value="PageNmae"/>

            <div class="button-group">
                <button type="submit" id="submit" name="submit">Rename</button>
            </div>
        </form>
    </div>
</div>