call_me.php 580 Bytes
<div class="call_me_modal_wrapper">
    <!-- 	<form name="forgot_pass_form" id="forgot_pass_form"> -->
    <div class="modal_window">
        <form>
            <div class="modal_close_btn"></div>
            <div class="title">Перезвонить мне</div>
            <label>Телефон:<input type="text" name="callme_head" id="phone_num_modal" placeholder="(0xx) xxx-xx-xx"></label>
            <div class="for_btn_position"><button class="my_cust_btn" type="submit">перезвонить мне</button></div>
        </form>
    </div>
    <!-- 	</form> -->
</div>