form

gistfile1.txt

<a class="feedback" href="#feedback-modal" data-toggle="modal">Задать вопрос</a>
<div id="feedback-modal" class="modal fade" aria-hidden="true" aria-labelledby="myModalLabel" role="dialog" tabindex="-1">
    <div style="max-width: 530px;" class="modal-dialog modal-lg">
        <div class="modal-content">
            <button aria-label="Close" data-dismiss="modal" class="close" type="button">
                <span aria-hidden="true">X</span>
            </button>
            <div class="row feedback_popup">
            <p class="promise">Заполните эту простую форму и наш менеджер ответит на вопрос в течение суток</p>
            <p class="result"><?= $FORM->ShowResultStatus("") ?></p>
            <label class="name">
                <span>Имя</span>
                <?= $FORM->ShowInput('SIMPLE_QUESTION_493') ?>
            </label>
            <label class="email">
                <span>e-mail</span>
                <?= $FORM->ShowInput('SIMPLE_QUESTION_814') ?>
            </label>
            <label class="tel">
                <span>Телефон</span>
                <?= $FORM->ShowInput('SIMPLE_QUESTION_376') ?>
            </label>
            <label class="question">
                <span>Вопрос</span>
                <?= $FORM->ShowInput('SIMPLE_QUESTION_196') ?>
            </label>
            <?=$FORM->ShowInput('SIMPLE_QUESTION_907')?>
            <?=$FORM->ShowSubmitButton("","submit")?> </div>
        </div>
    </div>
</div>