form_popup.php
1.68 KB
<form class="form js_form fade-in" name="form-popup">
<fieldset class="form__fields"><label class="form__label"><input
class="js_form_item form__item form__fields_input form__fields_input-hidden"
type="hidden"
name="Тема"></label><label class="form__label"><input
class="js_form_item form__item js_input_name form__fields_input" type="text"
name="first_name"
placeholder="Имя*" required></label><label class="form__label"><input
class="js_form_item form__item js_input_phone form__fields_input" type="text"
name="phone"
placeholder="Телефон*" required></label><label class="form__label"><input
class="js_form_item form__item js_input_email form__fields_input" type="text"
name="email"
placeholder="Почта*" required></label><label class="form__label"><input
class="js_form_item form__item js_input_company form__fields_input" type="text"
name="company"
placeholder="Компания*" required></label><label class="form__label"><textarea
name="comment"
placeholder="Ваши комментарии"
rows="3"
class="js_form_item form__item form__fields_input form__fields_comment"></textarea></label><label
class="form__label form__confirm checkbox"><input
class="js_form_item form__item js_input_confirm"
type="checkbox" name="send_form" value="Y"><span>Согласен с <a
href="/files/policy.pdf" target="_blank"
rel="nofollow">политикой обработки персональных данных</a></span></label></fieldset>
<button class="button button_style_red form__btn js_form_btn" onSubmit="handleSubmit()">оставить
заявку
</button>
</form>