<div class="rb-popup-form" id="rb-popup-form">
<button type="button" class="rb-popup-close js-rb-popup-close" aria-label="Закрыть форму">
<span aria-hidden="true">
<svg viewBox="0 0 24 24" width="24" height="24" fill="none">
<path d="M6 6L18 18M18 6L6 18" stroke="currentColor" stroke-width="2" stroke-linecap="round"/>
</svg>
</span>
</button>
<div class="rb-popup-success" hidden>
<h3 class="rb-popup-title">Спасибо за заявку!</h3>
<p class="rb-popup-desc">Наш менеджер перезвонит вам в ближайшее время</p>
</div>
<form class="rb-form js-rb-form" method="post" action="#">
<h3 class="rb-popup-title">Оставьте заявку</h3>
<p class="rb-popup-desc">Мы свяжемся с вами и обсудим все детали</p>
<div class="rb-form-grid">
<div class="rb-field">
<input
type="text"
name="formname"
class="rb-input"
placeholder="Ваше имя"
autocomplete="name"
required
/>
</div>
<div class="rb-field rb-select-wrap">
<span class="rb-select-icon js-rb-select-icon" aria-hidden="true">
<svg viewBox="0 0 24 24" width="22" height="22" fill="none">
<path d="M4 7h16M4 12h16M4 17h16" stroke="currentColor" stroke-width="2" stroke-linecap="round"/>
</svg>
</span>
<select name="select_conn" class="rb-select js-rb-select" required>
<option value="">Выберите удобный способ связи</option>
<option value="Телефон">Телефон</option>
<option value="MAX">MAX</option>
<option value="Telegram">Telegram</option>
<option value="WhatsApp">WhatsApp</option>
</select>
<span class="rb-select-arrow" aria-hidden="true">
<svg viewBox="0 0 24 24" width="18" height="18" fill="none">
<path d="M6 9l6 6 6-6" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round"/>
</svg>
</span>
</div>
</div>
<div class="rb-conditional js-rb-group" data-group="Телефон" hidden>
<div class="rb-field">
<input
type="tel"
name="number"
class="rb-input js-rb-phone"
placeholder="Введите номер телефона"
autocomplete="tel"
/>
</div>
</div>
<div class="rb-conditional js-rb-group" data-group="MAX" hidden>
<div class="rb-field">
<input
type="tel"
name="maxnumber"
class="rb-input js-rb-phone"
placeholder="Введите номер телефона"
autocomplete="tel"
/>
</div>
</div>
<div class="rb-conditional js-rb-group" data-group="WhatsApp" hidden>
<div class="rb-field">
<input
type="tel"
name="whatsappnumber"
class="rb-input js-rb-phone"
placeholder="Введите номер телефона"
autocomplete="tel"
/>
</div>
</div>
<div class="rb-conditional js-rb-group" data-group="Telegram" hidden>
<div class="rb-field">
<input
type="text"
name="telegramusername"
class="rb-input"
placeholder="Введите username"
/>
</div>
<div class="rb-note">
На случай блокировок или если не найдём ваш профиль, введите номер телефона
</div>
<div class="rb-field">
<input
type="tel"
name="telegramnumber"
class="rb-input js-rb-phone"
placeholder="Введите номер телефона"
autocomplete="tel"
/>
</div>
</div>
<div class="rb-field">
<textarea
name="form_comment"
class="rb-textarea"
rows="5"
maxlength="300"
placeholder="Введите свой вопрос или комментарий"
></textarea>
</div>
<input type="hidden" name="page_title" value="Главная" />
<input type="hidden" name="event_subtitle" value="" />
<input type="hidden" name="utm_source" value="" />
<input type="hidden" name="utm_medium" value="" />
<input type="hidden" name="utm_campaign" value="" />
<input type="hidden" name="utm_term" value="" />
<input type="hidden" name="utm_content" value="" />
<input type="hidden" name="ymuid" value="" />
<div class="rb-submit-wrap">
<button type="submit" class="rb-submit">Отправить</button>
</div>
</form>
</div>
