a0c30ef8
 Administrator
upload project
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<div class="choose_tovar">
<form method="get" class="cmxform" action="" id="profile_form">
<div class="personal_info">
<fieldset>
<h3>Данные</h3>
<input name="name" id="name" placeholder="Ф.И.О" minlength="4" type="text" required="">
<span class="star">*</span>
<input type="phone" name="telephone" id="telephone_registration" placeholder="Телефон" minlength="7" required="">
<span class="star3">*</span>
<input type="email" name="email" id="email" placeholder="email" minlength="" required="">
<input type="text" name="idea" id="idea" placeholder="Комментарий" >
</fieldset>
</div>
<div class="delievery">
<h3>Доставка</h3>
<ul>
<li>
<input type="radio" id="autolux" class="filter-two" name="delivery" value="autolux" checked="">
<label for="autolux"><span></span><p>Автолюкс до 16:20</p></label>
</li>
<li>
<input type="radio" id="gunsel" class="filter-two" name="delivery" value="gunsel">
<label for="gunsel"><span></span><p>Гюнсел до 16:20</p></label>
</li>
<li>
<input type="radio" id="post" class="filter-two" name="delivery" value="post">
<label for="post"><span></span><p>Новая почта до 17:20</p></label>
</li>
<li>
<input type="radio" id="personal" class="filter-two" name="delivery" value="personal">
<label for="personal"><span></span><p>Самовывоз</p></label>
</li>
<li>
<input type="checkbox" id="assurance" class="filter-two" name="assurance" value="assurance" checked> <label for="assurance"><span></span><a href="">Застраховать заказ</a></label>
</li>
</ul>
</div>
<button class="purple">Подтвердить заказ</button>
</form>
</div>
</div>
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