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AtomicOld/design/atomic/html/forms/zakaz.tpl
2026-02-15 18:29:53 +03:00

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{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('recaptchaResponseBottzakaz');
recaptchaResponse.value = token;
});
});
</script>
{/literal}
<div id="zakaz_form" style="display:none;" class="modal-forms">
<form class="form-horizontal" >
<div class="callback-header h2" style="font-size: 18px;">Заказать с установкой</div>
<div class="form-group">
<label class="col-sm-3 control-label">Ваше имя</label>
<div class="col-sm-9">
<input name="name" class="form-control">
<div class="help-block err name-error">Введите Ваше имя</div>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Телефон*</label>
<div class="col-sm-9">
<input required name="phone" class="form-control" data-min="5">
<div class="help-block err phone-error">Введите телефон</div>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Марка авто</label>
<div class="col-sm-9">
<input name="marka" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Модель авто</label>
<div class="col-sm-9">
<input name="model" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Комментарий</label>
<div class="col-sm-9">
<textarea name="comment" class="form-control"></textarea>
</div>
</div>
<div class="form-group" style="padding-left: 20px;">
<button class="btn btn-default callback-submit" type="submit">Отправить</button>
</div>
<input type="hidden" name="recaptcha_response" id="recaptchaResponseBottzakaz">
<input type="hidden" name="_url" value="/modal-form/zakaz_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;">Ваше сообщение отправлено</div>
</div>