6afa0829
 Eugeny Galkovskiy
Запись на приём
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<?php
use artbox\core\components\SeoComponent;
use yii\web\View;
/**
* @var View $this
*/
/**
* @var SeoComponent $seo
*/
$seo = \Yii::$app->get('seo');
$this->title = \Yii::t('app', 'Записаться на приём');
$this->params[ 'breadcrumbs' ][] = $this->title;
?>
<div class="container appment-page">
<section>
<div class="col-md-12">
<div class="heading text-center">
<h2><?=$this->title?></h2>
</div>
<div class="col-md-8 col-md-offset-2">
<div class="forms_wr">
<div class="modal-body">
<form id="appointment-form" action="/site/appointment" method="POST" role="form">
<div class="form-group field-appointment-name">
<div class="on_input_"></div>
<label class="control-label" for="appointment-name">Имя</label>
<input type="text" id="appointment-name" class="form-control" name="Appointment[name]" aria-invalid="false">
<p class="help-block help-block-error"></p>
</div>
<div class="form-group field-appointment-name required">
<div class="on_input_"></div>
<label class="control-label" for="appointment-name">Номер телефона</label>
<input type="text" id="appointment-phone" class="form-control" name="Appointment[phone]">
<p class="help-block help-block-error"></p>
</div>
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8528ff71
Eugeny Galkovskiy
Запись на приём, ...
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<div class="form-group field-appointment-date required has-datepicker2">
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6afa0829
Eugeny Galkovskiy
Запись на приём
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<div class="on_input_"></div>
<label class="control-label" for="appointment-date">Дата</label>
<input type="text" id="appointment-date" class="form-control" name="Appointment[date]">
<p class="help-block help-block-error"></p>
</div>
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8528ff71
Eugeny Galkovskiy
Запись на приём, ...
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<div class="datepicker-wr2">
<div id="datepicker2"></div>
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6afa0829
Eugeny Galkovskiy
Запись на приём
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</div>
<div class="form-group field-appointment-time">
<div class="on_input_"></div>
<label class="control-label" for="appointment-service">Время</label>
<input type="text" id="appointment-time" class="form-control" name="Appointment[time]">
<p class="help-block help-block-error"></p>
</div>
<div class="form-group field-appointment-service">
<div class="on_input_"></div>
<label class="control-label" for="appointment-service">Услуга</label>
<input type="text" id="appointment-service" class="form-control" name="Appointment[service]">
<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">Отправить</button>
</p>
</form>
</div>
</div>
</div>
</div>
</section>
</div>
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