templates/application/partial/request-short-form.html.twig line 1

Open in your IDE?
  1. <div class="individual-footer__feedback box individual-feedback" id="request">
  2.     <h2 class="individual-feedback__title">Оставить заявку</h2>
  3.     <form action="#" class="form requestForm">
  4.         <input name="token" type="hidden" />
  5.         <input name="type" value="service" type="hidden">
  6.         <div class="form__group">
  7.             <div class="form__label">Имя <span class="text--primary">*</span></div>
  8.             <input class="form__control" type="text" placeholder="Как к вам обращаться?"
  9.                    name="name" {% if getIdentity() %}value="{{ getIdentity().name }}" readonly{% else %}required{% endif %}>
  10.         </div>
  11.         <div class="form__group">
  12.             <div class="form__label">Телефон <span class="text--primary">*</span></div>
  13.             <input type="tel" class="form__control" placeholder="+7 (" id="a-phone"
  14.                    name="phone" {% if getIdentity() %}value="{{ getIdentity().phone }}" readonly{% else %}required{% endif %}>
  15.         </div>
  16.         <div class="form__group">
  17.             <div class="form__label">Почта <span class="text--primary">*</span></div>
  18.             <input class="form__control" type="email" placeholder="www@mymail.ru"
  19.                    name="email" {% if getIdentity() %}value="{{ getIdentity().email }}" readonly{% else %}required{% endif %}>
  21.         </div>
  22.         <div class="form__group">
  23.             <div class="form__label">Комментарий</div>
  24.             <textarea name="comment" class="form__control" placeholder="Сообщение" cols="30" rows="3"></textarea>
  25.         </div>
  26.         <div class="form__btn">
  27.             <button type="submit" class="btn">
  28.                 <span class="btn__text">Отправить заявку</span>
  29.             </button>
  30.         </div>
  31.         <div class="form__help">
  32.             Нажимая кнопку «Отправить», я даю <a href="{{ path('agreement') }}" target="_blank">согласие</a> на&nbsp;обработку персональных данных.
  33.         </div>
  34.         <div class="form__help">
  35.             This site is&nbsp;protected by&nbsp;reCAPTCHA and the Google
  36.             <a rel="nofollow" href="https://policies.google.com/privacy">Privacy Policy</a>
  37.             and <a rel="nofollow" href="https://policies.google.com/terms">Terms of Service</a> apply.
  38.         </div>
  39.     </form>
  40. </div>