{literal}
    <script src="https://www.google.com/recaptcha/api.js?render=6LegdywdAAAAADKhWf40ZE7xYCwRlvVg_mg3Ot0q"></script>
    <script>
        grecaptcha.ready(function () {
            grecaptcha.execute('6LegdywdAAAAADKhWf40ZE7xYCwRlvVg_mg3Ot0q', { action: 'contact' }).then(function (token) {
                var recaptchaResponse = document.getElementById('recaptchaResponseform');
                recaptchaResponse.value = token;
            });
        });
    </script>
{/literal}

      <div class="contact-form well">
        <div class="col-xs-12 h3" id="chCallbackFormHeader">Заказать услугу: {$page->header|escape}</div>
        <form id="chCallbackForm2" class="clearfix">
         <input type="text" class="hide" name="user" placeholder="user">
          <div class="form-group col-sm-3">
            <label class="sr-only"></label>
            <input type="text" class="form-control" name="Имя" placeholder="Ваше имя">
          </div>
          <div class="form-group col-sm-3">
            <label class="sr-only"></label>
            <input required type="text" class="form-control" name="Телефон" placeholder="Телефон для связи" data-validation="phone">
          </div>
          <div class="form-group col-sm-3">
            <label class="sr-only"></label>
            <input type="text" class="form-control" name="Марка и модель авто" placeholder="Марка и модель авто">
          </div>
          <div class="col-sm-3">
            <button type="button" name="submit" class="form-submit btn btn-danger btn-block">Отправить</button>
          </div>
            <input type="hidden" name="recaptcha_response" id="recaptchaResponseform">
          <input type="hidden" name="id" value="{$page->id}">
        </form>
      </div>
{literal}
<script>
$(document).ready(function() {
    $('#chCallbackForm2').sendForm({
    	'header' : '#chCallbackFormHeader',
    	callback: function(){ yandexReachGoal('zakazuslugi'); }
	});
});
</script>
{/literal}

      <div class="contact-form well">
       <img loading="lazy" style="float:left; margin-right: 5%" src="/design/atomic/images/service_img.png" alt="{$page->header|escape} в СПБ" width="70" height="70">
<span style="color: #ff0000; font-size: 18px;">Есть вопросы по услуге {$page->header|escape}? Задайте нашему эксперту</span>
<span style="color: #0000ff; font-size: 18px;"><a title="Позвонить" href="tel:+79219589000">+7(921)958-90-00</a> </span>| <span style="color: #339966; font-size: 18px;"> <a style="color: #339966; font-size: 18px;" title="WhatsApp" href="https://wa.me/79219589000">WhatsApp</a></span> | <span style="color: #0000ff; font-size: 18px;"><a style="color: #2481cc;" title="Telegram" href="https://t.me/Atomicgarage">Telegram</a></span>
      </div>