jQuery Mobile Tutorial 3.3.2 - http://ctoinsights.wordpress.com/2012/01/03/jquery-mobile-tutorial-part-iii-managing-data/

shareqr3.3.2.html

  <div data-role="page" id="delurl">
    <div data-role="header" data-theme="b" data-position="fixed">
      <h1>Delete URL?</h1>
    </div>
    <div data-role="content">
      <p class="center" id="url_prompt">url</p>
      <form action="#home" method="POST" name="delurl" id="delurl">
        <div data-role="fieldcontain">
          <input type="hidden" name="url_value" id="url_value" value="url" />
          <fieldset class="ui-grid-a">
            <div class="ui-block-a">
              <a href="#home" data-role="button" class="ui-submit" data-rel="back" data-direction="reverse">Cancel</a>
            </div>
            <div class="ui-block-b">
              <input type="submit" value="Delete" />
            </div>
          </fieldset>
        </div>
      </form>
    </div>
    <div data-role="footer" class="ui-bar" data-theme="b" data-position="fixed" data-id="footer">
    </div>  
  </div>