42 lines
1.7 KiB
Plaintext
42 lines
1.7 KiB
Plaintext
<div class="card card-primary card-outline">
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<div class="card-header">
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<h3 class="card-title"><strong>Formularz bezpłatnej konsultacji</strong></h3>
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</div>
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<%= form_with(model: consultation_email, url: '/home/order_meeting_save', method: :post, remote: true, id: 'consultation_email_form') do |form| %>
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<div class="card-body">
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<div id="email_mess_div">
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<%= render '/shared/errors_list', error_object: consultation_email %>
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</div>
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<div class="form-group">
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<h5><%= I18n.t('consultation_email.form_line1') %> <strong><%= @dotation.formal_name %></strong></h5>
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<p><%= I18n.t('consultation_email.form_line2') %></p>
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</div>
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<%= hidden_field_tag 'd', params[:d] %>
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<div class="form-group">
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<%= form.label :phone_number %>
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<%= form.text_field :phone_number, class: 'form-control', placeholder: 'Podaj numer telefonu' %>
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</div>
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<div class="form-group">
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<%= form.label :email %>
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<%= form.email_field :email, class: 'form-control', placeholder: 'Wprowadź email' %>
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</div>
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<div class="form-group">
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<%= form.label :project_value %><br />
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<% ConsultationEmail::PROJECT_VALUES.each do |pv| %>
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<%= radio_button_tag 'consultation_email[project_value]', pv[0] %>
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<%= label 'consultation_email[project_value]', pv[1] %><br />
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<% end %>
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</div>
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<div class="form-group">
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<div class="alert alert-info">
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<h5><i class="icon fas fa-info"></i> Ważne</h5>
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<%= I18n.t('consultation_email.form_politics') %>
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</div>
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</div>
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</div>
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<div class="card-footer">
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<button type="submit" class="btn btn-primary">Zamów konsultację</button>
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</div>
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<% end %>
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</div>
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