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Upload Files
File: /var/www/quadcode-site/src/html/lp/saas_request/block-form.html
<div class="block-form">
  <div class="block-form__container">
    <div class="block-form__title titleXXL" data-lang="lng-requestFormTitle">Send us a brief message and our team will be in touch with you soon</div>
    <div class="form-message form-success" style="display: none;">
      <div class="form-message__icon">
        <img src="../../../assets/resource/lp/Group%20666.png" alt="">
      </div>
      <div class="form-message__inner">
        <div class="form-message__title titleL" data-lang="lng-formSuccessTitle">
          Your message has been successfully sent
        </div>
        <div class="form-message__text defaultBase" data-lang="lng-formSuccessSubTitle">
          Thank you for your interest! Our team will contact you shortly to discuss the details.
        </div>
        <div class="form-message__actions">
          <a href="/lp/saas_request" class="button CTABase" data-lang="lng-formSuccessBtn" data-lang-link="saas_request" data-lang-type="link">OK</a>
        </div>
      </div>
    </div>
    <div class="form-message form-error" style="display: none;">
      <div class="form-message__icon">
        <img src="../../../assets/resource/lp/Group%20664.png" alt="">
      </div>
      <div class="form-message__inner">
        <div class="form-message__title titleL" data-lang="lng-formErrorTitle">
          Something went wrong...
        </div>
        <div class="form-message__actions">
          <a href="/lp/saas_request" class="button CTABase" data-role="saas2-request-reset" data-lang="lng-formErrorBtn" data-lang-link="saas_request" data-lang-type="link">Please try again</a>
        </div>
      </div>
    </div>
    <div class="formContent">
      <div class="formElement">
        <input class="textInput RegularS" placeholder="Name*" name="first_name" type="text" id="first_name" data-lang="lng-InputName" data-lang-type="input">
        <label id="first_name-error" class="error RegularXXS" for="first_name" data-form="error" data-lang="lng-Required"></label>
      </div>
      <div class="formElement">
        <input class="textInput RegularS" placeholder="Email*" name="email" type="text" id="email" data-lang="lng-InputEmail" data-lang-type="input">
        <label id="email-error" class="error RegularXXS" for="email" data-form="error" data-lang="lng-Required"></label>
      </div>
      <div class="formElement">
        <input class="textInput RegularS" placeholder="Phone*" name="phone" id="saas-phone" inputmode="tel" data-lang="lng-InputPhone" data-lang-type="input">
        <label id="saas-phone-error" class="error RegularXXS" for="saas-phone" data-form="error" data-lang="lng-Required"></label>
      </div>
      <div class="formElement">
        <textarea class="textArea RegularS" name="message" id="message" cols="30" rows="5" placeholder="Message" data-lang="lng-InputMessage" data-lang-type="input"></textarea>
        <label id="message-error" class="error RegularXXS" for="message" data-form="error" data-lang="lng-Required"></label>
      </div>
      <div class="formElement">
        <label id="g-recaptcha-response-error" class="error RegularXXS" for="message" data-form="error" data-lang="lng-Required"></label>
        <div id="contacts-request-g-recaptcha-response" class="captchaWrapper"></div>

        <script>
            function recaptchaCallback() {
                const reCaptchaOptions = {sitekey: '6LceR2gjAAAAAIY2W8wlNB221ijjeTmLVfuFDma_'};
                if (document.querySelector('#contacts-request-g-recaptcha-response') !== null) {
                    window.dataRequestFormCaptcha = grecaptcha.render('contacts-request-g-recaptcha-response', reCaptchaOptions);
                }
            }
        </script>
        <script src="https://www.google.com/recaptcha/api.js?onload=recaptchaCallback&render=explicit&hl=en" async defer></script>
      </div>
      <div class="checkbox">
        <span id="agree-error" class="error RegularXXS" data-form="error" data-lang="lng-Required"></span>
        <input type="checkbox" name="terms_agree" id="agree" class="checkbox__input" data-form="agree">
        <label for="agree" class="checkbox__label">
          <span class="checkbox__icon"></span>
          <span class="checkbox__text RegularXXS" data-lang="lng-requestCheckboxConfirm">
            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>
      <button class="formButton CTABase" type="submit" data-lang="lng-formButton">
        Send request
      </button>
      <div class="errorMsg" data-lang="lng-EmptyFields">There are empty fields</div>
      <div class="successMsg" data-lang="lng-Success">Success</div>
    </div>
  </div>
</div>