8d65d0ce
 andryeyev
init
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<h1>{$menu_one.name|stripslashes}</h1>
{if $smarty.get.send eq "ok"}
<div class="info">
Âàøà àíêåòà îòïðàâëåíà. Ñïàñèáî áîëüøîå!
</div>
{/if}
{$text.text|stripslashes}
{if $menu_one.id eq 39}
<p align="center">
Çàïîâí³òü àíêåòó, ðîçòàøîâàíó íèæ÷å, àáî <a href="{$config->url}/uploadedfiles/Äèëåðñêàÿ_àíêåòà.docx">ñêà÷àéòå</a> ¿¿ ³ íàä³øë³òü çà àäðåñîþ<br />
info@extremepride.com.ua
</p>
{include file="error.tpl"}
<form method="post">
<table>
<tr><td>Íàçâà òà ñàéò ìàãàçèíó</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>̳ñöåçíàõîäæåííÿ (ì³ñòî, àäðåñà)</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>Ï.².Á. Êîíòàêòíî¿ îñîáè</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>Òåëåôîí Êîíòàêòíî¿ îñîáè</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>E-mail Êîíòàêòíî¿ îñîáè</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>Ïðîô³ëü (àóòäîð, ìîòî / âåëî, çèìîâèé ñïîðò, ð³çíå)</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>Ìåòðàæ ìàãàçèíà</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>ʳëüê³ñòü áðåíä³â, ïðåäñòàâëåíèõ â ìàãàçèí³ òà íàçâà 3-õ îñíîâíèõ</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>ʳëüê³ñòü ïðîäàâö³â, ïðèñóòí³õ â ìàãàçèí³ îäíî÷àñíî</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>ßêå ïî÷àòêîâå çàìîâëåííÿ â êàìåðàõ àáî çà ñóìîþ Âè ìàºòå íàì³ð çðîáèòè</td></tr>
<tr><td><textarea cols="50" rows="4" name="field[]"></textarea></td></tr>
<tr><td> </td></tr>
<tr><td>Ñèìâîëè íà êàðòèíö³<br /><img src="{$url_lang}/captcha/" style="border:2px solid red;" /></td></tr>
<tr><td><input type="text" size="20" name="captcha" /></td></tr>
<tr><td align="center"><input type="submit" name=" ³äïðàâèòè " /></td></tr>
</table>
</form>
{/if}
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