<span class="term">Title: <input id="tit" type="text"/></span>
<span class="term">Series: <input id="ser" type="text"/></span>
<span class="term">Language: <input id="lan" type="text"/></span>
+ <span class="term">Lists: <input id="lst" type="text"/></span>
</form>
<div class="pager">