Created
January 20, 2017 14:58
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<div class="modal fade" id="modal-order_additional" tabindex="-1" role="dialog" aria-labelledby="modal-order_addition-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-order_additional-label">Оставить предварительную заявку на дополнение</h4> | |
</div> | |
<div class="modal-body"> | |
<form id="get-additional-form"> | |
<input type="hidden" name="get-additional-form" value=""> | |
<div class="form-group"> | |
<input type="text" class="form-control" name="name" placeholder="Имя"> | |
</div> | |
<div class="form-group"> | |
<input type="tel" class="form-control" name="phone" placeholder="Телефон"> | |
</div> | |
<div class="form-group"> | |
<input type="email" class="form-control" name="email" placeholder="E-mail"> | |
</div> | |
<button class="btn" type="submit">Отправить</button> | |
</form> | |
</div> | |
</div> | |
</div> | |
</div> |
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