Created
January 20, 2017 14:58
-
-
Save alexey-kar/e6e4570d73182f276b2d3e7df1efa2c8 to your computer and use it in GitHub Desktop.
This file contains hidden or bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
<div class="modal fade" id="modal-createbill" tabindex="-1" role="dialog" aria-labelledby="modal-createbill-label"> | |
<div class="modal-dialog" role="document"> | |
<div class="modal-content"> | |
<div class="modal-header"> | |
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> | |
<h4 class="modal-title" id="modal-createbill-label"></h4> | |
</div> | |
<div class="modal-body"> | |
<form action="" method="POST" id="form_get_invoice"> | |
<input type="text" class="hidden solution-type" name="form-title" value="" data-solutiontype=""> | |
<div class="form-group"> | |
<input type="text" class="form-control" name="name" placeholder="Название застройщика"> | |
</div> | |
<div class="form-group"> | |
<input type="text" class="form-control" name="inn" placeholder="ИНН"> | |
</div> | |
<div class="form-group"> | |
<input type="tel" class="form-control" name="phone" placeholder="Телефон"> | |
</div> | |
<div class="form-group"> | |
<input type="text" class="form-control" name="fio" placeholder="ФИО контактного лица"> | |
</div> | |
<button class="btn" type="submit" name="form_get_invoice">Заказать</button> | |
</form> | |
</div> | |
</div> | |
</div> | |
</div> |
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment