Lawer/modal_form.html at master · nikigan/Lawer · GitHub

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 <div class="modal fade" id="exampleModalCenter" tabindex="-1" role="dialog" aria-labelledby="exampleModalCenterTitle"
   aria-hidden="true">
   <div class="modal-dialog modal-dialog-centered modal-lg" role="document">
     <div class="modal-content">
       <h3 class="header">Оставьте заявку на консультацию</h3>
       <button type="button" class="close d-none d-md-block" data-dismiss="modal" aria-label="Close">
         <svg width="33" height="33" viewBox="0 0 33 33" fill="none" xmlns="http://www.w3.org/2000/svg">
           <path fill-rule="evenodd" clip-rule="evenodd"
             d="M14.7928 16.2072L0 31L1.41421 32.4142L16.207 17.6214L31 32.4144L32.4142 31.0002L17.6212 16.2072L32.4142 1.41422L31 0L16.207 14.793L1.41421 0.000152588L5.40495e-07 1.41437L14.7928 16.2072Z"
             fill="white" />
         </svg>
       </button>
       <div class="form">
         <form>
           <div class="form-group">
             <label for="my-input">Имя</label>
             <input id="name" class="form-control" type="text" placeholder="например, Иван Иванов">
           </div>
           <div class="form-group">
             <label for="my-input">Номер телефона</label>
             <input id="phone" class="form-control" type="tel" placeholder="+7(999)999-99-99">
           </div>
           <div class="form-group">
             <label for="my-input">Краткая суть проблемы</label>
             <textarea id="problem" class="form-control" type="text" placeholder="Текст сообщения"></textarea>
           </div>
         </form>
       </div>
       <button class="btn-main ml-auto col-lg-7 col-md-10 col-12">Оставить заявку</button>
     </div>
   </div>
 </div>