{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('recaptchaResponseBottom');
        recaptchaResponse.value = token;
      });
    });
  </script>
{/literal}


<div class="title">Обратная связь</div>
<div id="bottomForm">
<form class="form form-horizontal" method="post">
    <div class="form-group">
  <label  class="col-sm-2 control-label">Имя</label>
    <div class="col-sm-12">
  <input class="form-control" placeholder="Имя"  name="name" maxlength="255" type="text"/>
    </div>
    </div>
  <div class="form-group">
  <label  class="col-sm-2 control-label">Телефон</label>
    <div class="col-sm-12">
  <input required class="form-control" placeholder="Телефон" name="phone" maxlength="255" type="text" data-min="5"/>
  <div class="help-block err phone-error">Введите телефон</div>
    </div>
  </div>
    <div class="form-group">
  <label  class="col-sm-2 control-label">Email</label>
    <div class="col-sm-12">
  <input class="form-control" placeholder="Email" name="email" maxlength="255" type="text"/>
    </div>
  </div>
    <div class="form-group">
  <label  class="col-sm-2 control-label">Сообщение</label>
    <div class="col-sm-12">
  <textarea class="form-control"  placeholder="Сообщение" name="message"></textarea>
    </div>
    </div>

    <div class="pull-right">
		<button class="btn callback-submit "type="submit">Отправить</button>
	</div>

    <input type="hidden" name="recaptcha_response" id="recaptchaResponseBottom">
	<input type="hidden" name="_url" value="/modal-form/bottom_send.php">
	<input type="hidden" name="page_link">
	<input type="hidden" name="page_name">

</form>

	<div class="callback-success alert alert-success" style="font-size: 15px;display:none;margin-top:210px;">Ваше сообщение отправлено</div>

</div>