<div class="col-lg-12 my">

<div class="card mb15">
  <div class="card-header">
    <span class="icon-speech"></span> Обратная связь
  </div>
  <div class="card-body">

<div class="input-group mb10">
  {recipient}
  <span class="input-group-addon" id="basic-addon2">Получатель</span>
</div>

  [not-logged]
  <input placeholder="Ваше имя" type="text" maxlength="35" name="name" class="form-control">
  <input placeholder="E-mail" type="email" maxlength="35" name="email" class="form-control">
  <div class="mb10"></div>
  [/not-logged]
     
      <div style="display:none;">{recipient}</div>
      <input style="width: 100%;" placeholder="Заголовок" type="text" maxlength="45" name="subject" class="form-control"><br><br>
      <textarea style="width: 100%;" placeholder="Сообщение" name="message" row="3" class="form-control mb10"></textarea>
			[recaptcha]
			{recaptcha}
			[/recaptcha]
      <button name="submit" class="btn btn-primary" type="submit"><i class="fa fa-check" aria-hidden="true"></i> Отправить</button>
  </div>
</div>

<div class="card mb15">
  <div class="card-header"><span class="icon-location-pin"></span> Наше местоположение</div>
  <div class="card-body">
    <script type="text/javascript" charset="utf-8" async src="https://api-maps.yandex.ru/services/constructor/1.0/js/?um=constructor%3Ab42311826371dc3a82f0be11375ee99bacb7f5d6b09055eac8e5958865796987&amp;width=100%&amp;height=539&amp;lang=ru_RU&amp;scroll=true"></script>
  </div>
    <div class="card-footer text-muted"><a href="https://yandex.kz/maps/10122/miami/?um=constructor%3Ab42311826371dc3a82f0be11375ee99bacb7f5d6b09055eac8e5958865796987&source=constructorLink&mode=usermaps" target="_blink"><span class="icon-action-redo"></span> Открыть в Яндекс картах</a><span class="float-right">Соединенные Штаты Америки, Флорида, Дейд-Каунти, Майами</span></div>
</div>

<div class="card mb15">
  <div class="card-header"><span class="icon-share"></span> Социальные сети</div>
  <div class="card-body">
    <a class="btn btn-light" href="/"><i class="fa fa-vk" aria-hidden="true"></i> ВКонтаке<a>
      <a class="btn btn-light" href="/"><i class="fa fa-twitter" aria-hidden="true"></i> Twitter<a>
        <a class="btn btn-light" href="/"><i class="fa fa-facebook-square" aria-hidden="true"></i> Facebook<a>
          <a class="btn btn-light" href="/"><i class="fa fa-instagram" aria-hidden="true"></i> Instagram<a>
            <a class="btn btn-light" href="/"><i class="fa fa-github" aria-hidden="true"></i> GitHub<a>
              <a class="btn btn-light" href="/"><i class="fa fa-telegram" aria-hidden="true"></i> Telegram<a>
  </div>
</div>
    
</div>