<input type="text" id="crepair-poll" name="poll" value="$poll" />
<div class="clear"></div>
+<label id="crepair-photo-label" for="crepair-photo">$label_photo</label>
+<input type="text" id="crepair-photo" name="photo" value="" />
+<div class="clear"></div>
+
<input type="submit" name="submit" value="$lbl_submit" />
</form>