<div style="text-transform: uppercase; padding: 0 10px;">

<h3 style="font-size: 18px; font-weight: normal; line-height: 27px;">REZERVACIJA</h3>

<img src="images/demo/flower_left.png" border="0" alt="" style="float: right; margin: -72px -40px 0px 0px;" /><form class="q-booking" action="index.php" method="post" accept-charset="utf-8">

<p><label></label><strong>atvykimo data:</strong><br /><input id="arrival" style="width: 95%;" title="November 24 2012" type="text" name="arrival" value="Data" /><br /><label></label></p>

<p><label>Svečių kiekis:<br /></label></p>

<select id="guest" style="float: left; width: 50px;" name="guest" size="1">

<option selected="selected" value="1">1</option>

<option value="2">2</option>

<option value="3">3</option>

<option value="4">4</option>

<option value="5">5</option>

</select><input class="submit" style="float: right; border: 0px none; padding: 2px 3px; color: #c9cbbd; background: #666856; text-transform: uppercase;" type="submit" value="Rezervuoti" /></form></div>