View file Flesha-112/feedback.tpl

<div class="container maincontain">  
<div class="row">
<div class="col-sm-8 col-md-9">  <div id='dle-content'>
<form  method="post" id="sendmail" name="sendmail" action="">
<script>
$(function() {
	$('.recip select').addClass('form-control');
});
</script>
<div class="form">
  <div class="panel panel-default">
    <h2 class="panel-heading">Обратная связь</h2>
    <div class="panel-body"> 
      <div class="form-group">
        <label>Кому:</label>
        <div class="recip">{recipient}</div>
      </div>
      <div class="form-group">
        <label>Тема:</label>
        <input type="text" maxlength="45" name="subject" class="form-control" placeholder="Тема">
      </div>
      <div class="form-group">
        <label>Сообщение:</label>
        <textarea name="message" class="form-control" style="height:100px" placeholder="Текст сообщения"></textarea>
      </div>
      
      <div class="form-group">
[recaptcha]
<div class="form-group">{recaptcha}</div>
			[/recaptcha]
			[question]
				<div class="form-group">
					<label for="question_answer">Вопрос: {question}</label>
					<input placeholder="Ответ" type="text" name="question_answer" id="question_answer" class="wide" required>
				</div>
			[/question]
				[sec_code]
					<div class="c-captcha">
						{code}
						<input placeholder="Повторите код" type="text" name="sec_code" id="sec_code" required>
					</div>
				[/sec_code]
      <button  name="send_btn" type="submit" class="btn btn-success">Отправить</button>
    </div>
  </div>
</div>
<input name="send" type="hidden" value="send" />
</div></div></div></div></div></form>