Владимир

<form action="" method="post" class="ajax_form af_example form-horizontal">

	<div class="control-group">
		<label class="control-label" for="af_name">[[%af_label_name]]</label>
		<div class="controls">
			<input type="text" id="af_name" name="name" value="[[+fi.name]]" placeholder="" />
			<span class="error_name">[[+fi.error.name]]</span>
		</div>
	</div>

	<div class="control-group">
		<label class="control-label" for="af_email">Эл. почта</label>
		<div class="controls">
			<input type="email" id="af_email" name="email" value="[[+fi.email]]" placeholder="" />
			<span class="error_email">[[+fi.error.email]]</span>
		</div>
	</div>

	<div class="control-group">
		<label class="control-label" for="af_serial_number">Серийный номер прибора</label>
		<div class="controls">
			<input type="text" id="af_serial_number" name="serial_number" value="[[+fi.serial_number]]" placeholder="" />
			<span class="error_serial_number">[[+fi.error.serial_number]]</span>
		</div>
	</div>
	
	<div id="acceptance">
	<span><input type="checkbox" name="acceptance-247" class="form-control" value="1" aria-invalid="false" required></span> <span>Я согласен на обработку персональных данных в соответствии с <a href="/company/politika-konfidenczialnosti">политикой конфиденциальности</a></span>
	</div>
	
	
	<div class="control-group">
		<div class="controls">
			<button type="submit" class="btn btn-lg btn-default" onclick="yaCounter19647079.reachGoal('garantiya'); return true; value="[[%af_submit]]">[[%af_submit]]</button>
		</div>
	</div>
	
	[[+fi.success:is=`1`:then=`
		<div class="alert alert-success">[[+fi.successMessage]]</div>
	`]]
	[[+fi.validation_error:is=`1`:then=`
		<div class="alert alert-danger">[[+fi.validation_error_serial_number]]</div>
	`]]
</form>