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<div class="modal" data-show="true" tabindex="-1" role="dialog" aria-hidden="true">
<form action="javascript:void(0);">
<div class="modal-body" style="font-size: 1.2em">
<fieldset>
<legend>{{dmap_itemname}} login</legend>
<p>
<input type="text" class="input-large" placeholder="Login" tabindex="1">
</p>
<p>
<input type="password" class="input-large" placeholder="Password" tabindex="2">
</p>
<label class="checkbox">
<input type="checkbox" tabindex="3"> Remember me
</label>
</fieldset>
</div>
<div class="modal-footer">
<a class="btn btn-mini" data-dismiss="modal" aria-hidden="true" tabindex="5"><i class="icon-remove"></i>&nbsp;Cancel</a>
<button class="btn btn-mini btn-primary" data-dismiss="action" aria-hidden="true" tabindex="5"><i class="icon-ok"></i>&nbsp;Login</button>
</div>
</form>
</div>