form.php 1.52 KB
<form class="form js_form fade-in" name="form-contact">
	<fieldset class="form__fields">
		<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="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="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="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="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 name="send_form" value="Y" class="js_form_item js_input_confirm" type="checkbox"/>
			<span>Согласен с&nbsp;<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>