<p>Joanna Łubik<br />Specjalista ds. RI</p>
<p>tel:   <span dir="ltr"><span title="Zadzwon za pomoca Skype pod numer telefonu +48587126020 w Polska" dir="ltr">+48 58 712 60 20 </span></span><br />faks: +48 58 698 21 62</p>
<p>[[!FormIt? &amp;hooks=`email,spam,redirect` &amp;emailTpl=`EmailTpl` &amp;emailSubject=`Wiadomość z formularza inwestor.madkom.pl` &amp;emailTo=`inwestor@madkom.pl` &amp;emailFrom=`inwestor@madkom.pl` &validate=`name:required,<span>email:email:required</span>,message:required,subject:required` ]]</p>
<hr />
<h4 style="margin-bottom: 2em;">Formularz kontaktowy</h4>
<form class="form-horizontal container col-md-10 col-lg-offset-1 col-xs-12" style="padding: 1em; margin-bottom: 2em; background-color: #efefef; border-radius: 5px; border: 1px solid #ccc;" action="[[~[[*id]]]]" method="post"><fieldset><!-- Form Name --> <!-- Text input-->
<div class="form-group"><label class="col-sm-3 col-xs-12 control-label" for="name">Imię</label>
<div class="col-sm-9 col-xs-12 "><input id="name" class="form-control input-md" type="text" name="name" value="[[!+fi.name]]" /> <span class="help-block" style="color: #777;">[[+fi.error.name]]</span></div>
</div>
<!-- Text input-->
<div class="form-group"><label class="col-sm-3 col-xs-12  control-label" for="email">E-mail</label>
<div class="col-sm-9 col-xs-12 "><input id="email" class="form-control input-md" type="text" name="email" value="[[!+fi.email]]" /> <span class="help-block" style="color: #777;">[[+fi.error.email]]</span></div>
</div>
<!-- Select Basic -->
<div class="form-group"><label class="col-sm-3 col-xs-12 control-label" for="subject">Odnośnie</label><span class="error">[[+fi.error.subject]]</span>
<div class="col-sm-9 col-xs-12 "><select id="subject" class="form-control" name="subject">
<option value="Pytanie ogólne">Pytanie ogólne</option>
<option value="Prasa">Prasa</option>
<option value="Możliwość partnerstwa1">Możliwość partnerstwa</option>
<option value="Jestem inwestorem1">Jestem inwestorem</option>
</select><span class="help-block" style="color: #777;">[[!fi.error.subject]]</span></div>
</div>
<!-- Textarea -->
<div class="form-group"><label class="col-sm-3 col-xs-12  control-label" for="message">Wiadomość</label>
<div class="col-sm-9 col-xs-12 "><textarea id="message" class="form-control" name="message">[[!+fi.message]]</textarea> <span class="help-block" style="color: #777;">[[!fi.error.message]]</span></div>
</div>
<div class="form-group"><input class="form-control" type="submit" value="Wyślij" /></div>
</fieldset></form>