<div class="form-block">

	<div class="block-header">
		<div class="block-name"><?php echo $data['PAGE']; ?></div>
	</div>

	<div class="block-line"></div>

	<form class="form-horizontal" method="post">
		<div class="control-group">
			<label class="control-label" for="inputTitle">Название</label>
			<div class="controls">
				<input type="text" name="title" value="<?php echo $data['TITLE']; ?>" id="inputTitle" placeholder="Название">
			</div>
		</div>

		<div class="control-group">
			<label class="control-label" for="inputText">Описание</label>
			<div class="controls">
				<textarea id="inputText" placeholder="Описание" name="text" maxlength="255" rows="5"><?php echo $data['TEXT']; ?></textarea>
			</div>
		</div>

		<div class="control-group">
			<label class="control-label" for="inputTitle">IP адрес</label>
			<div class="controls">
				<input type="text" name="ip" value="<?php echo $data['IP']; ?>" id="inputTitle" placeholder="IP адрес сервера">
			</div>
		</div>

		<div class="control-group">
			<label class="control-label" for="inputTitle">Порт</label>
			<div class="controls">
				<input type="text" name="port" value="<?php echo $data['PORT']; ?>" id="inputTitle" placeholder="Порт">
			</div>
		</div>

		<div class="control-group">
			<div class="controls">
				<button type="submit" class="btn" name="submit"><?php echo $data['BUTTON']; ?></button>
			</div>
		</div>
	</form>
		
</div>