The Perl Toolchain Summit needs more sponsors. If your company depends on Perl, please support this very important event.
	<div class="main-cart">

		<h1>Vaše naročilo</h1>
		
		<div class="category-bg">
		<div class="category-border">
			<div class="step-box step-box-selected">1. Dostava</div>
			<div class="step-box">2. Plačilo</div>
			<div class="step-box">3. Povzetek</div>
			<div class="step-box">4. Zaključek</div>
			<div class="clear"></div>
		</div>
		</div>

		<div class="alert">Prosimo, izpolnite zahtevana polja: Ime in priimek, Naslov, Pošta, Kraj.</div>

		<form name="giftinfo" class="frm-default" action="/checkout" method="POST">

			<fieldset class="align-left">
			<legend>Podatki o dostavi</legend>
			<ul>
				<li>
					<label>Naziv</label>
					<select class="fld-date" name="gender">
						<option>Mr.</option>
					</select>
				</li>
				<li>
					<label>Ime</label>
					<span class="form-error" id="error-first-name">!! Vpišite ime</span>
					<input type="text" name="first_name"/>
				</li>
				<li>
					<label>Priimek</label>
					<input type="text" name="last_name"/>
				</li>
				<li>
					<label>Naslov</label><span class="form-error" id="error-last-name">!! Vpišite naslov</span>
					<input type="text" name="street_address"/>
				</li>
				<li>
					<label>Pošta in kraj</label><span class="form-error" id="error-zip-city">!! Vpišite pošto in kraj</span>
					<input type="text" name="zip" class="fld-small" /> <input type="text" name="city"/>
				</li>
				<li>
					<label>Država</label>
                    <select name="country">
                    </select>
				</li>
				<li>
					<label>Telefon</label>
					<input type="text" name="phone"/>
				</li>
			</ul>
			</fieldset>


			<fieldset class="align-left">
			<legend>Posvetilo</legend>
			<div class="gift-message">Za posvetilo ni doplačila.</div>
			<ul>
				<li>
					<select>
						<option>Ljubezensko sporočilo</option>
					</select>
				</li>
				<li>
					<textarea name="message" cols="" rows="5">Neskončno te ljubim...</textarea><br />
					<span class="txt-info">Še 450 znakov</span>
				</li>
			</ul>
			</fieldset>

			<fieldset class="align-left" style="margin-top: 45px;">
			<legend>Čas dostave</legend>
			<ul>
				<li>
					<table width="300" cellpadding="0" cellspacing="0" border="0">
					<tr>
						<td>
						<label>Dan</label>
						<select class="fld-date" name="day">
							<option>Pet, 17</option>
						</select>
						</td>
						<td>
						<label>Mesec</label>
						<select class="fld-date" name="month">
							<option>Okt 2012</option>
						</select>
						<a href=""><img src="img/i_calendar.png" style="margin-bottom: -4px;" /></a>
						</td>
						<td>
							<label>Ura</label>
							<select class="fld-date" name="time">
								<option>10.00 - 15.00</option>
							</select>
						</td>
					</tr>
					</table>
				</li>
			</ul>
			</fieldset>

			<div class="clear"></div>

			<input type="submit" value="Naprej na plačilo" class="btn-submit" />

		</form>

	</div> <!-- end main -->