29 lines
1.4 KiB
Smarty
29 lines
1.4 KiB
Smarty
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<div class="contact-form well">
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<div class="col-xs-12 h3" id="chCallbackFormHeader">Оставьте заявку и мы перезвоним и уточним все детали</div>
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<form id="chCallbackForm2" class="clearfix">
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<input type="text" class="hide" name="user" placeholder="user">
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<div class="form-group col-sm-3">
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<label class="sr-only"></label>
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<input type="text" class="form-control" name="Имя" placeholder="Имя">
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</div>
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<div class="form-group col-sm-3">
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<label class="sr-only"></label>
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<input type="text" class="form-control" name="Телефон" placeholder="Телефон *" data-validation="phone">
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</div>
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<div class="form-group col-sm-3">
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<label class="sr-only"></label>
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<input type="text" class="form-control" name="Марка и модель авто" placeholder="Марка и модель авто">
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</div>
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<div class="col-sm-3">
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<button type="button" name="submit" onclick="yaCounter23568694.reachGoal('zayavka');" class="form-submit btn btn-danger btn-block">Оставить заявку</button>
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</div>
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<input type="hidden" name="id" value="{$page->id}">
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</form>
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</div>
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{literal}
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<script>
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$(document).ready(function() {
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$('#chCallbackForm2').sendForm({'header' : '#chCallbackFormHeader'});
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});
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</script>
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{/literal}
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