102 lines
4.9 KiB
Smarty
102 lines
4.9 KiB
Smarty
<div id="buy-by-phone-popup">
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<div class="buy-by-phone-popup--wrapper">
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<div class="popup-header">
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<div class="popup-header--close">
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<a href="#" title="close" class="close-popup">
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<i class="fa fa-times" aria-hidden="true"></i>
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</a>
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</div>
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</div>
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<div class="popup-body">
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<div class="popup-body--left">
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<div class="popup-img">
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<img class="product-cover" src="{$product.cover.bySize.large_default.url}" alt="{$product.cover.legend}"
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title="{$product.cover.legend}" itemprop="image">
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</div>
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</div>
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<div class="popup-body--right">
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<div class="popup-body-top">
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<p class="p1">ZADZWOŃ <a href="tel:+48 793 799 700">+48 793 799 700</a> lub uzupełnij i wyślij poniższy formularz, wówczas to my skontaktujemy się z Tobą.</p>
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<form id="buy-by-phone-form" action="/buy-by-phone.php" method="post">
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<input type="hidden" name="buy-by-phone-mail-from" value="masimmo">
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<input type="hidden" name="buy-by-phone-product-name" value="{$product.name}">
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<input type="hidden" name="buy-by-phone-product-uri" value="{$product.link}">
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<div class="form-cols">
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control form-control-name" name="buy-by-phone-name" placeholder="Twoje imię">
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control form-control-phone" name="buy-by-phone-phone" required="required" placeholder="Numer telefonu *">
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</div>
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</div>
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<span class="popup-input-alert">* pole jest wymagane</span>
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<br/><br/>
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<p>Potrzebuję porady odnośnie doboru produktu:</p>
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<div class="form-group lql-form-content-element form-group-radio">
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<label class="radio-inline">
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<input type="radio" name="buy-by-phone-need-advice" value="tak"> Tak
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</label>
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<label class="radio-inline">
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<input type="radio" name="buy-by-phone-need-advice" value="nie"> Nie
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</label>
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control" name="contact-time" placeholder="Preferowana data/godzina kontaktu">
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control" name="product-to-buy" placeholder="Produkt jaki chcę kupić">
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control" name="shipping-address" placeholder="Adres do wysyłki">
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control" name="phone-for-courier"
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placeholder="Numer telefonu dla kuriera">
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control" name="email" placeholder="Adres e-mail">
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</div>
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<div class="form-group lql-form-content-element">
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<input type="text" class="form-control" name="comments-to-order" placeholder="Uwagi do zamówienia">
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</div>
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<div class="form-group lql-form-content-element form-group-polityka">
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<input type="checkbox" class="form-control" name="polityka" id="polityka" required="">
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<label for="polityka">
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* Wyrażam zgodę na przetwarzanie przez Dr Materac sp. z o.o. mojego adresu e-mail oraz innych danych osobowych, które dobrowolnie podaję w treści wiadomości w celu udzielenia na nią odpowiedzi i kontaktu. Zapoznałem się z <a href="/content/92-regulamin-sprzedazy-telefonicznej" target="_blank">Regulaminem</a> i <a href="/content/12-polityka-prywatnosci" target="_blank">Polityką prywatności</a>
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</label>
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</div>
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<br/>
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<div class="g-recaptcha" data-sitekey="6LeJAUUsAAAAAB9l4SYYqmjAS6RwHwoyfUgTJQ5e"></div>
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<br/>
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<button type="submit" class="form-control-submit lql-form-bt lql-register-bt btn btn-primary"
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id="buy-by-phone-form-btn">
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<span class="lql-bt-txt">
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Wyślij
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</span>
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</button>
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</form>
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</div>
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<div class="popup-alert">
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<div class="popup-alert-wrapper">
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<div class="popup-alert-close">
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<a href="#" title="close" class="close-popup-alert">
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<i class="fa fa-times" aria-hidden="true"></i>
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</a>
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</div>
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<div class="popup-alert-data">
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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{literal}
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<script src="https://www.google.com/recaptcha/api.js" async defer></script>
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{/literal} |