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<?php
use yii\helpers\Html;
?>
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<div class="modal fade" id="myCallback" tabindex="-1" role="dialog" aria-labelledby="myModalLabel">
<div class="modal-dialog auth" role="document">
<div class="modal-content">
<div class="modal-header">
<button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
<h4 class="modal-title" id="myModalLabel">Заказ обратного звонка</h4>
</div>
<div class="modal-body">
<form>
<p>Оставьте номер вашего телефона и наш оператор перезвонит вам в течении часа.</p>
<div class="form-group">
<label for="СallbackName1">Ваше имя</label>
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<?= Html::textInput('name',"",['class'=>'consultation_name']) ?>
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</div>
<div class="form-group">
<label for="СallbackPhone1">Телефон</label>
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<?= Html::textInput('phone',"",['class'=>'consultation_phone']) ?>
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</div>
<div class="example">примеры: +38 (044) 33-992-33 </div>
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<?= Html::submitButton("Жду звонка", ['class' => 'btn btn-default', 'name' => 'login-button']) ?>
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<div class="clearfix"></div>
</form>
<br />
</div>
</div>
</div>
</div>
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