/fieldset>
			<fieldset>
				<h4>Page-level data</h4>
				<p>Enter the details of the page you wish to embed the tracking code in.</p>
				<label>Is the page HTTP or HTTPS?*</label>
				<input type="radio" id="pageScheme" name="pageScheme" value="http" />HTTP
				<input type="radio" id="pageScheme" name="pageScheme" value="https" />HTTPS</br>
				<label for="pageTitle" id="pageTitle_label">Page title:*</label>
				<input type="text" id="pageTitle" name="pageTitle" size="30" value="" class="text-input" /><br