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File: //var/www/quadcode/frontend/src/html/lp/affiliate_broker/modal-form.html
<div id="affiliateBrokerModal" class="modal" data-widget="saas2">
  <div class="container">
    <div class="modal__content">
        <div class="form-message form-message--inmodal form-success" style="display: none;" >
          <div class="form-message__icon">
            <svg width="73" height="72" viewBox="0 0 73 72" fill="none" xmlns="http://www.w3.org/2000/svg">
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            </svg>
          </div>
          <div class="form-message__inner">
            <div class="form-message__title titleL" data-lang="lng-affiliateBroker.thankYou!">
              Thank you!
            </div>
            <div class="form-message__text defaultB" data-lang="lng-affiliateBroker.yourMessageHasBeenSuccessfullySent">
              Your message has been successfully sent.
            </div>
          </div>
        </div>
        <div class="form-message form-message--inmodal form-error" style="display: none;">
          <div class="modal__close" data-role="saas2-close">
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          <div class="form-message__inner">
            <div class="form-message__title titleL" data-lang="lng-formErrorTitle">
              Something went wrong
            </div>
            <div class="form-message__actions">
              <p class="button button--red ctaB" data-role="saas2-request-reset" data-lang="lng-formErrorBtn" >Please try again</p>
            </div>
          </div>
        </div>
        <form method="post" class="form form--inmodal" action="<!-- @secret API_URL -->/notPopup" data-role="saas2-request2" data-name="saas2-request2" data-widget="form">
          <div class="modal__close" data-role="saas2-close">
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          </div>
          <div class="form__text">
            <div class="form__logo">
              <svg width="281" height="49" viewBox="0 0 281 49" fill="none" xmlns="http://www.w3.org/2000/svg">
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            <div class="form__titleBlock">
              <div class="form__title" data-lang="lng-affiliateBroker.readyToBecomeBroker">
                Ready to Become a Broker?
              </div>
              <div class="form__description" data-lang="lng-affiliateBroker.fillOutForm">Fill out the form below and step into a world without CPA and Revenue Share limitations!</div>
            </div>

          </div>
          <div class="form__fields">
            <div class="form-field">
              <div class="form-field__error">Required</div>
              <label for="saas2-request2-first_name" class="form-field__label">
                <input type="text" name="first_name" id="saas2-request2-first_name" class="form-field__input text" placeholder="Name*" data-lang="lng-affiliateBroker.name" data-lang-type="input">
              </label>
            </div>
            <div class="form-field">
              <div class="form-field__error">Required</div>
              <label for="saas2-request2-email" class="form-field__label">
                <input type="text" name="email" id="saas2-request2-email" class="form-field__input text" inputmode="email" placeholder="Email*" data-lang="lng-affiliateBroker.email" data-lang-type="input">
              </label>
            </div>
            <div class="form-field">
              <div class="form-field__error">Required</div>
              <label for="saas2-request2-phone" class="form-field__label form-field__label--required">
                <input name="phone" id="saas2-request2-phone" class="form-field__input text" inputmode="tel" placeholder="Phone" data-lang="lng-affiliateBroker.phoneNumber" data-lang-type="input">
              </label>
            </div>
            <div class="form-field">
              <label for="saas2-request2-tg" class="form-field__label">
                <input type="text" name="tg" id="saas2-request2-tg" class="form-field__input text" placeholder="TG @username" data-lang="lng-affiliateBroker.tgUsername" data-lang-type="input">
              </label>
            </div>
            <div class="form-field">
              <label for="saas2-request2-comment" class="form-field__label">
                <textarea type="text" name="comment" id="saas2-request2-comment" class="form-field__input" placeholder="Comment" data-lang="lng-affiliateBroker.comment" data-lang-type="input"></textarea>
              </label>
            </div>
            <div class="form__wrapper recaptcha">
              <div class="form-field">
                <div class="captchaWrapper"></div>
                <div class="form-field__error">Required</div>
              </div>
            </div>
          </div>

          <div class="form__buttonBlock">
            <button class="button button--red text" type="submit" data-lang="lng-affiliateBroker.getStarted">Get Started</button>
            <div class="checkbox">
              <div class="checkbox__error">Required</div>
              <input type="checkbox" name="terms_agree" id="saas2-request2-terms_agree" class="checkbox__input">
              <label for="saas2-request2-terms_agree" class="checkbox__label">
                <span class="checkbox__icon"></span>
                <span class="checkbox__text defaultS" data-lang="lng-checkboxConfirm">By sticking the check box I consent with the
                  <a href="/terms-and-conditions" class="checkbox__link">terms and conditions</a>
                  and the
                  <a href="/privacy-policy" class="checkbox__link">policy</a>
                  of the website
              </span>
              </label>
            </div>
          </div>
        </form>
    </div>
  </div>

</div>