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Current File : /var/www/html/clients/biblio.e-nkama.ru/tat/includes/modal.php

<?php
if (!defined('B_PROLOG_INCLUDED') || B_PROLOG_INCLUDED !== true) die;
?>
<div id="feedback-1" class="modal fade" tabindex="-1" role="dialog" aria-hidden="true">
    <div class="modal-dialog" role="document">
        <form class="modal-content feedback">
            <div class="modal-header">
                <h5 class="modal-title">Безгэ языгыз</h5>
                <button type="button" class="close" data-dismiss="modal" aria-label="Close">
                    <span aria-hidden="true">&times;</span>
                </button>
            </div>
            <div class="modal-body">
                <div class="form-group">
                    <label>Исемегез</label>
                    <input type="text" class="form-control" name="Имя" placeholder="Исемегез" required>
                </div>
                <div class="form-group">
                    <label>Сезнең e-mail</label>
                    <input type="text" class="form-control" name="E-mail" placeholder="Сезнең e-mail" required>
                </div>
                <div class="form-group">
                    <label>Хәбәр темасы</label>
                    <input type="text" class="form-control" name="Тема сообщения" placeholder="Хәбәр темасы">
                </div>
                <div class="form-group">
                    <label>Сезнең хатыгыз</label>
                    <textarea class="form-control" name="Сообщение" placeholder="Сезнең хатыгыз" rows="3" required></textarea>
                </div>
                <div class="form-group">
                    <label class="mb-0"><input type="checkbox" name="personal" checked disabled> Мин шәхси мәгълүматны эшкәртүгә риза</label>
                </div>
            </div>
            <div class="modal-footer">
                <input type="hidden" name="subject" value="Новое сообщение">
                <button type="button" class="btn btn-default" data-dismiss="modal">Ябырга</button>
                <button type="submit" class="btn btn-success">Җибәрергэ</button>
            </div>
        </form>
    </div>
</div>