<form id="feedback" class="footer__form form_js" action="{$GLOBAL_URL}/ajax-feedback" method="post">
	<div class="notification"></div>
    {include file="../form/captcha.tpl"}
	<div class="footer__form-input">
		<input type="text" class="valid-field_js" name="feedback[fullName]" placeholder="Ваше Имя" data-empty="Обязательно для заполнения">
	</div>

	<div class="footer__form-input">
		<input type="tel" class="valid-field_js valid-phone_js" name="feedback[phone]" placeholder="Ваш Телефон" data-empty="Обязательно для заполнения">
	</div>

	<div class="footer__form-input">
		<textarea class="valid-field_js" name="feedback[message]" id="" cols="30" rows="10" placeholder="Текст сообщения" data-empty="Обязательно для заполнения"></textarea>
	</div>
	<input class="input-hidden input-hidden_js" value="NOSPAM" type="text" name="" id="">
	<input type="hidden" name="feedback[subject]"  value="">
	<button class="btn btn-white btn-accent-border valid-btn_js" type="submit">Отправить</button>
</form>
