site_promo.tpl 4.8 KB
<h2 class="otop30">{$rules_info_one.name}</h2>
{$statics_one.text|stripslashes}
{include file="error.tpl"}
{if $smarty.get.send eq "ok"}<p><span class="red"><b>Áîëüøîå ñïàñèáî, Âàøà çàÿâêà îòïðàâëåíà óñïåøíî. Ìû ñâÿæåìñÿ ñ Âàìè â áëèæàéøåå âðåìÿ.</b></span></p>{/if}
     <form action="{$smarty.const.URL}promo_order/" method="post">

      <table id="order_table" frame="void">
      <tr>
          <td align="right"><b>Âàøå èìÿ:<font color="red">*</font></b>
          </td>
          <td>
              <input name="visitor_name" maxlength="60" value="{$smarty.post.visitor_name|escape:'html'}" type="text" size="60" class="input_form">
          </td>

      </tr>
      <tr>
          <td align="right"><b>Êîíòàêòíûé íîìåð òåëåôîíà:<font color="red">*</font></b>
          </td>
          <td>
              <input name="phone" maxlength="60" value="{$smarty.post.phone|escape:'html'}" type="text" size="60" class="input_form">
          </td>
      </tr>

      <tr>
          <td align="right"><b>e-mail:</b>
          </td>
          <td>
              <input name="email" maxlength="60" value="{$smarty.post.email|escape:'html'}" type="text" size="60" class="input_form">
          </td>
      </tr>
      <tr>

          <td align="right"><b>ICQ:</b>
          </td>
          <td>
              <input name="icq" maxlength="60" value="{$smarty.post.icq|escape:'html'}" type="text" size="60" class="input_form">
          </td>
      </tr>
      <tr>
          <td align="right"><b>Àäðåñ ñàéòà:</b>

          </td>
          <td>
              <input name="client_url" maxlength="60" value="{$smarty.post.client_url|escape:'html'}" type="text" size="60" class="input_form">
          </td>
      </tr>
      <tr>
          <td align="right"><b>Öåëåâàÿ àóäèòîðèÿ èç êàêîãî ðåãèîíà Âàì èíòåðåñíà:</b>
          </td>

          <td>
              <select name="region" class="input_form">
              <option value="0" {if $smarty.post.region eq 0}selected{/if}></option>
              <option value="Ðîññèÿ" {if $smarty.post.region eq "Ðîññèÿ"}selected{/if}>Ðîññèÿ</option>
              <option value="Óêðàèíà" {if $smarty.post.region eq "Óêðàèíà"}selected{/if}>Óêðàèíà</option>
              <option value="ÑÍÃ" {if $smarty.post.region eq "ÑÍÃ"}selected{/if}>ÑÍÃ</option>
              <option value="Äðóãîé" {if $smarty.post.region eq "Äðóãîé"}selected{/if}>Äðóãîé</option>

              </select>
          </td>
      </tr>
      <tr>
          <td align="right"><b>Ñïèñîê ïîèñêîâûõ çàïðîñîâ (åñëè åñòü):</b>
          </td>
          <td>
              <textarea name="queries" cols="80" rows="10" class="input_form">{$smarty.post.queries|escape:'html'}</textarea>

          </td>
      </tr>
      <tr>
          <td align="right"><b>Åæåìåñÿ÷íûé áþäæåò êàìïàíèè:<font color="red">*</font></b>
          </td>
          <td>
              <input name="budget" value="1500-2500" type="radio" {if $smarty.post.budget eq "1500-2500"}checked{/if}>1500-2500 ãðí.<br>

              <input name="budget" value="2500-5000" type="radio" {if $smarty.post.budget eq "2500-5000"}checked{/if}>2500-5000 ãðí.<br>
              <input name="budget" value="5000-10000" type="radio" {if $smarty.post.budget eq "5000-10000"}checked{/if}>5000-10000 ãðí.<br>
              <input name="budget" value="Áîëåå 10000" type="radio" {if $smarty.post.budget eq "Áîëåå 10000"}checked{/if}>Áîëåå 10000 ãðí.<br>
              <input name="budget" value="Íå îïðåäåëåí" type="radio" {if $smarty.post.budget eq "Íå îïðåäåëåí"}checked{/if}>Íå îïðåäåëåí<br>
          </td>
      </tr>
      <tr>

          <td align="right"><b>Êîììåíòàðèè:</b>
          </td>
          <td>
              <textarea name="mess" cols="80" rows="10" class="input_form">{$smarty.post.mess|escape:'html'}</textarea>
          </td>
      </tr>
      <tr>
          <td align="right"><b>Äîïîëíèòåëüíûå óñëóãè:</b>

          </td>
          <td>
              <input name="avto_queries" value="Äà" type="checkbox">Áåñïëàòíûé ïîäáîð îïòèìàëüíîãî ñïèñêà çàïðîñîâ
          </td>
      </tr>
      <tr>
          <td align="right"><b></b>
          </td>
          <td>

              <input name="context" value="Äà" type="checkbox">Êîíòåêñòíàÿ ðåêëàìà
          </td>
      </tr>
      <tr>
          <td align="right"><b></b>
          </td>
          <td>
              <input name="banners" value="Äà" type="checkbox">Áàííåðíàÿ ðåêëàìà
          </td>
      </tr>

      <tr>
          <td align="right"><b></b>
          </td>
          <td>
              <input name="boards" value="Äà" type="checkbox">Ðàçìåùåíèå íà äîñêàõ îáúÿâëåíèé
          </td>
      </tr>
      <tr><td></td>
          <td> <input type="hidden" name="send">
              <input value="Îòïðàâèòü &gt;&gt;" name="send_ok" type="submit" class="input_submit">

          </td>
      </tr>
      <tr>
          <td colspan="2">
           </td>
      </tr>
      </table>
</form>