diff --git a/blocks/modal.php b/blocks/modal.php
index f8181ad..c229284 100644
--- a/blocks/modal.php
+++ b/blocks/modal.php
@@ -6,21 +6,98 @@
           </div>
           <div class="modal-body">
               <form id="get-itform" action="" method="POST" role="form">
-<div id="name-block" class="form-group field-booknow-email required">
-<div class="on_input_"></div><label class="control-label" for="booknow-email">Ваше имя</label><input type="text" id="booknow-email" class="form-control" name="name" autocomplete="off" aria-required="true">
-</div><div id="email-block" class="form-group field-booknow-email required">
-<div class="on_input_"></div><label class="control-label" for="booknow-email">Ваш e-mail</label><input type="text" id="booknow-email" class="form-control" name="email" autocomplete="off" aria-required="true">
-</div><div id="phone-block" class="form-group field-booknow-email required">
-<div class="on_input_"></div><label class="control-label" for="booknow-email">Ваш телефон</label><input type="text" id="booknow-email" class="form-control" name="phone" autocomplete="off" aria-required="true">
-</div>
-<div class="form-group field-booknow-message">
-<label class="control-label" for="booknow-message">Комментарий</label>
-<textarea id="booknow-message" class="form-control" name="message" rows="4"></textarea>
-
-<p class="help-block help-block-error"></p>
-</div>
-<p class="text-center">
-                <button type="submit" class="send-form btn btn-lg btn-template-primary">Заказать</button>            </p>
+				<div id="name-block" class="form-group field-booknow-email required">
+					<div class="on_input_"></div>
+					<label class="control-label" for="booknow-email">Ваше имя</label>
+					<input type="text" id="booknow-email" class="form-control" name="name" autocomplete="off" aria-required="true">
+				</div>
+				<div id="email-block" class="form-group field-booknow-email required">
+					<div class="on_input_"></div>
+					<label class="control-label" for="booknow-email">Ваш e-mail</label>
+					<input type="text" id="booknow-email" class="form-control" name="email" autocomplete="off" aria-required="true">
+				</div>
+				<div id="phone-block" class="form-group field-booknow-email required">
+					<div class="on_input_"></div>
+					<label class="control-label" for="booknow-email">Ваш телефон</label>
+					<input type="text" id="booknow-email" class="form-control" name="phone" autocomplete="off" aria-required="true">
+				</div>
+				<div class="form-group">
+					<div class="col-md-6">
+						<div class="row">
+							<label>Какой сайт вам нужен?</label>
+							<div class="style input-wr">
+								<div class="style radio_custom">
+									<input type="radio" id="type_id1" name="site" value="лендинг">
+									<label for="type_id1">лендинг</label>
+								</div>
+								<div class="style radio_custom">
+									<input type="radio" id="type_id2" name="site" value="корпоративный сайт компании">
+									<label for="type_id2">корпоративный сайт компании</label>
+								</div>
+								<div class="style radio_custom">
+									<input type="radio" id="type_id3" name="site" value="сайт услуг">
+									<label for="type_id3">сайт услуг</label>
+								</div>
+								<div class="style radio_custom">
+									<input type="radio" id="type_id4" name="site" value="портфолио">
+									<label for="type_id4">портфолио</label>
+								</div>
+								<div class="style radio_custom">
+									<input type="radio" id="type_id5" name="site" value="блог">
+									<label for="type_id5">блог</label>
+								</div>
+							</div>
+						</div>
+					</div>
+					<div class="col-md-6">
+						<div class="row">
+								<label>Выберите страницы</label>
+								<div class="style input-wr">
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg1" name="page" value="главная">
+										<label for="type_pg1">главная</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg2" name="page" value="блог">
+										<label for="type_pg2">блог</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg3" name="page" value="портфолио">
+										<label for="type_pg3">портфолио</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg4" name="page" value="текстовая">
+										<label for="type_pg4">текстовая</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg5" name="page" value="галерея">
+										<label for="type_pg5">галерея</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg6" name="page" value="прайс">
+										<label for="type_pg5">прайс</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg7" name="page" value="команда">
+										<label for="type_pg5">команда</label>
+									</div>
+									<div class="style radio_custom">
+										<input type="checkbox" id="type_pg8" name="page" value="контакты">
+										<label for="type_pg5">контакты</label>
+									</div>
+								</div>
+						</div>
+					</div>
+					<div style="clear:both;"></div>
+				</div>
+				<div class="form-group field-booknow-message">
+					<label class="control-label" for="booknow-message">Комментарий</label>
+					<textarea id="booknow-message" class="form-control" name="message" rows="4"></textarea>
+					<p class="help-block help-block-error"></p>
+				</div>
+				<p class="text-center">
+					<button type="submit" class="send-form btn btn-lg btn-template-primary">Заказать</button>
+				</p>
               </form>
           </div>
         </div>
--
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