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<div align="left"><font face="Times New Roman" color="#ffffff" size="5"><span style=" font-size:18pt"><b>8-044-737-74-37</b></span></font></div><div align="left"><font face="Times New Roman" color="#ffffff"><span style=" font-size:12pt"><b> </b></span><span style=" font-size:11pt">spare-parts@tartuga.by</span></font></div>
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<tr>
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<div id="main-container">
<div id="form-container">
<h2>заявки обрабатываются круглосуточно</h2>
<h2>режим работы интернет-магазина 9:00 - 16:20</h2>
<form id="contact-form" name="contact-form" method="post" action="submit.php">
<table width="100%" border="0" cellspacing="0" cellpadding="5">
<tr>
<td width="15%"><label for="name">Контактное имя<font color="red">*</font></label></td>
<td width="70%"><input type="text" class="validate[required,custom[onlyLetter]]" name="name" id="name" value="<?=$_SESSION['post']['name']?>" /></td>
<td width="15%" id="errOffset"> </td>
</tr>
<tr>
<td width="15%"><label for="VIN">VIN-код(№ кузова)<font color="red">*</font></label></td>
<td><input type="text" class="validate[required,custom[kuzov]]" name="VIN" id="VIN" value="<?=$_SESSION['post']['VIN']?>" /></td>
<td width="15%" id="errOffset"> </td>
</tr>
<tr>
<td class="border"><label for="country">Марка<font color="red">*</font></label></td>
<td><select id="country" name="country">
<option value=""></option>
<option value="Alfa Romeo">Alfa Romeo</option>
<option value="Audi">Audi</option>
<option value="Bentley">Bentley</option>
<option value="BMW">BMW</option>
<option value="Buick">Buick</option>
<option value="Cadillac">Cadillac</option>
<option value="Chery">Chery</option>
<option value="Chevrolet">Chevrolet</option>
<option value="Chrysler">Chrysler</option>
<option value="Citroen">Citroen</option>
<option value="Dacia">Dacia</option>
<option value="Daewoo">Daewoo</option>
<option value="Daihatsu">Daihatsu</option>
<option value="DODGE">DODGE</option>
<option value="Fiat">Fiat</option>
<option value="Ford">Ford</option>
<option value="Geely">Geely</option>
<option value="GMC">GMC</option>
<option value="Honda">Honda</option>
<option value="Honda Acura">Honda Acura</option>
<option value="Hummer">Hummer</option>
<option value="Hyundai">Hyundai</option>
<option value="Infiniti">Infiniti</option>
<option value="Isuzu">Isuzu</option>
<option value="Jaguar">Jaguar</option>
<option value="Jeep">Jeep</option>
<option value="KIA">KIA</option>
<option value="Lancia">Lancia</option>
<option value="Land Rover">Land Rover</option>
<option value="Lexus">Lexus</option>
<option value="Lincoln">Lincoln</option>
<option value="Maserati">Maserati</option>
<option value="Maybach">Maybach</option>
<option value="Mazda">Mazda</option>
<option value="MCC Smart">MCC Smart</option>
<option value="Mercedes">Mercedes</option>
<option value="Mercury">Mercury</option>
<option value="MG">MG</option>
<option value="Mini">Mini</option>
<option value="Mitsubishi">Mitsubishi</option>
<option value="Nissan">Nissan</option>
<option value="Oldsmobile">Oldsmobile</option>
<option value="Opel">Opel</option>
<option value="Peugeot">Peugeot</option>
<option value="Plymouth">Plymouth</option>
<option value="Pontiac">Pontiac</option>
<option value="Porsche">Porsche</option>
<option value="Proton">Proton</option>
<option value="Renault">Renault</option>
<option value="Rover">Rover</option>
<option value="SAAB">SAAB</option>
<option value="Samand">Samand</option>
<option value="Saturn">Saturn</option>
<option value="SEAT">SEAT</option>
<option value="Skoda">Skoda</option>
<option value="SsangYong">SsangYong</option>
<option value="Subaru">Subaru</option>
<option value="Suzuki">Suzuki</option>
<option value="Toyota">Toyota</option>
<option value="Volkswagen">Volkswagen</option>
<option value="Volvo">Volvo</option>
</select></td>
<td> </td>
</tr>
<tr>
<td width="15%"><label for="Mark">Марка</label></td>
<td width="70%"><input type="text" name="Mark" id="Mark" value="<?=$_SESSION['post']['Mark']?>" /></td>
<td width="15%"><label for="artikul">Если нет в списке</label></td>
<td width="15%" id="errOffset"> </td>
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<tr>
<td class="border"><label for="auto">Модель<font color="red">*</font></label></td>
<td><select id="auto" name="auto" disabled="disabled"></select></td>
<td> </td>
</tr>
<tr>
<td width="15%"><label for="Model">Модель</label></td>
<td width="70%"><input type="text" name="Model" id="Model" value="<?=$_SESSION['post']['Model']?>" /></td>
<td width="15%"><label for="artikul">Если нет в списке</label></td>
<td width="15%" id="errOffset"> </td>
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<tr>
<td class="border"><label for="Year">Год<font color="red">*</font></label></td>
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<option value="" selected="selected"></option>
<option value="2011">2011</option>
<option value="2010">2010</option>
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<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
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<td> </td>
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<tr>
<td class="border"><label for="toplivo">Топливо<font color="red">*</font></label></td>
<td><select name="toplivo" id="toplivo">
<option value="" selected="selected"></option>
<option value="бензин">бензин</option>
<option value="турбо-бензин">турбобензин</option>
<option value="дизель">дизель</option>
<option value="турбо-дизель">турбодизель</option>
<option value="газ">газ</option>
<option value="газ-бензин">газ-бензин</option>
</select></td>
<td> </td>
</tr>
<tr>
<td width="15%"><label for="Volume">Объем<font color="red">*</font></label></td>
<td><input type="text" class="validate[required,custom[Volume]]" name="Volume" id="Volume" value="<?=$_SESSION['post']['Volume']?>" /></td>
<td width="15%" id="errOffset"> </td>
</tr>
<tr>
<td><label for="subject">ABS<font color="red">*</font></label></td>
<td><select name="subject" id="subject">
<option value="" selected="selected"></option>
<option value="Yeas">Да</option>
<option value="No">Нет</option>
</select></td>
<td> </td>
</tr>
<tr>
<td><label for="telephone">Контактный телефон<font color="red">*</font></label></td>
<td><input type="text" class="validate[required,custom[telephone]]" name="telephone" id="telephone" value="<?=$_SESSION['post']['telephone']?>" /></td>
<td> </td>
</tr>
<tr>
<td valign="top"><label for="message">Наименование товара<font color="red">*</font></label></td>
<td><textarea name="message" id="message" class="validate[required]" cols="35" rows="5"><?=$_SESSION['post']['message']?></textarea></td>
<td valign="top"> </td>
</tr>
<tr>
<td width="15%"><label for="artikul">Оригинальный номер детали</label></td>
<td width="70%"><input type="text" name="artikul" id="artikul" value="<?=$_SESSION['post']['artikul']?>" /></td>
<td width="15%"><label for="artikul">Если знаете</label></td>
<td width="15%" id="errOffset"> </td>
</tr>
<tr>
<td><label for="email">Email<font color="red">*</font></label></td>
<td><input type="text" class="validate[required,custom[email]]" name="email" id="email" value="<?=$_SESSION['post']['email']?>" /></td>
<td> </td>
</tr>
<tr>
<td><label for="captcha"><?=$_SESSION['n1']?> + <?=$_SESSION['n2']?> =</label></td>
<td><input type="text" class="validate[required,custom[onlyNumber]]" name="captcha" id="captcha" /></td>
<td valign="top"> </td>
</tr>
<td> </td>
<tr><td colspan=3 align='center'>при нажатии на кнопку “Отправить” вы соглашаетесь с условиями<br><font color=red>публичного договора</font></td></tr><td> </td>
<tr>
<td valign="top"> </td>
<td colspan="2"><input type="submit" name="button" id="button" value="Отправить" />
<input type="reset" name="button2" id="button2" value="Сброс" />
<?=$str?> <img id="loading" src="img/ajax-load.gif" width="16" height="16" alt="loading" /></td>
</tr>
</table>
</form>
<?=$success?>
</div>
<div class="tutorial-info">
</div>
</td>
</tr>
</table>
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