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27 lines
936 B
HTML
27 lines
936 B
HTML
<form>
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<div class="Feedback" style="display:none;">
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<label for="PushSendFormDuration">{{ language.FeedBackDuration }}</label>
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<select id="PushSendFormDuration" name="duration">
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<option value="20">20</option>
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<option value="15">15</option>
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<option value="10">10</option>
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<option value="5">5</option>
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<option value="3">3</option>
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<option value="2">2</option>
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<option value="1">1</option>
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</select>
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</div>
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<div>
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<label for="PushSendFormRecept">{{ language.FeedBackName }}</label>
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<input id="PushSendFormName" type="text" name="name"/>
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</div>
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<div>
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<label for="PushSendFormMessage">{{ language.FeedBackMessage }}</label>
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<textarea id="PushSendFormMessage" name="message"></textarea>
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</div>
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<div>
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<input id="PushSendFormRecept" type="checkbox" name="recept" value="1"/>
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<label for="PushSendFormRecept">{{ language.Recept }}</label>
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</div>
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</form> |