piskel/templates/dialogs/import-image.html

<div class="dialog-wrapper">
  <h3 class="dialog-head">
    Import Image
    <span class="palette-manager-close dialog-close">X</span>
  </h3>
  <div class="dialog-import-body">
    <form action="" method="POST" name="import-image-form">
      <div class="import-section">
        <span class="dialog-section-title">Name :</span><span class="import-image-file-name"></span>
      </div>
      <div class="import-section">
        <span class="dialog-section-title" style="vertical-align:top">Info :</span>
        <div class="import-section-preview"></div>
      </div>
      <div class="import-section">
        <span class="dialog-section-title">Size :</span>
        <input type="text" class="textfield import-size-field" name="resize-width"/>x
        <input type="text" class="textfield import-size-field" name="resize-height"/>
      </div>
      <div class="import-section">
        <span class="import-section-title">Smooth resize :</span>
        <input type="checkbox" checked="checked" name="smooth-resize-checkbox" value="1"/>
      </div>
      <input type="submit" name="import-submit" class="button button-primary import-button" value="Import" />
    </form>
  </div>
</div>