<div id="qode_shortcode_form_wrapper">
    <form id="qode_shortcode_form" name="qode_shortcode_form" method="post" action="">
        <div class="input">
            <label>Background Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="background_color" id="background_color" value="" maxlength="12" size="12" />
        </div>
        <div class="input">
            <label>Background Image</label>
            <input id="background_image" type="text" name="background_image" class="popup_image" id="popup_image" value="" size="55" />
            <input class="upload_button" type="button" value="Upload file" id="popup_image_button">
        </div>
        <div class="input">
            <label>Border Color</label>
            <div class="colorSelector"><div style=""></div></div>
            <input name="border_color" id="border_color" value="" maxlength="12" size="12" />
        </div>
        <div class="input">
            <label>Border Width</label>
            <input name="border_width" id="border_width" value="" maxlength="12" size="12"/>
        </div>
        <div class="input">
            <label>Top Padding (px)</label>
            <input name="top_padding" id="top_padding" value="" maxlength="12" size="12"/>
        </div>
        <div class="input">
            <label>Bottom Padding (px)</label>
            <input name="bottom_padding" id="bottom_padding" value="" maxlength="12" size="12"/>
        </div>
        <div class="input">
            <label>Left/Right Padding (px)</label>
            <input name="leftright_padding" id="leftright_padding" value="" maxlength="12" size="12"/>
        </div>
        <div class="input">
            <input type="submit" name="Insert" id="qode_insert_shortcode_button" value="Submit"/>
        </div>
    </form>
</div>