"<form method=\"post\" action=\"\/ajax\/comment.form.php\" id=\"ajax-comment-form\" data-parent=\"\" class=\"comment_form frm-opin init-form-ajax\">\r\n\t\t\r\n\t\t<input type=\"hidden\" name=\"comment\" value=\"1\">\r\n\t<div class=\"row name-a-city\">\r\n\t\t           \t<input type=\"text\" name=\"name\" class=\"control full\" value=\"\" placeholder=\"\u0412\u0432\u0435\u0434\u0438\u0442\u0435 \u0438\u043c\u044f\">\r\n\t\t\t\t\t\t\r\n\t\t<input type=\"text\"  id=\"comment_city\" name=\"city\" class=\"input_name\" value=\"\" placeholder=\"\u0412\u0432\u0435\u0434\u0438\u0442\u0435 \u0433\u043e\u0440\u043e\u0434\">\r\n\t<\/div>\r\n\r\n\t<div class=\"row\">\r\n\t\t\t\t<input type=\"email\" name=\"email\" class=\"control full\" value=\"\" placeholder=\"\u0412\u0432\u0435\u0434\u0438\u0442\u0435 E-Mail\">\r\n\t\t\t<\/div>\r\n\r\n\t<div class=\"row\">\r\n\t\t<input type=\"text\" name=\"social\" class=\"control full\" value=\"\" placeholder=\"\u0421\u0441\u044b\u043b\u043a\u0430 \u043d\u0430 \u0441\u043e\u0446\u0438\u0430\u043b\u044c\u043d\u0443\u044e \u0441\u0435\u0442\u044c\">\r\n\t<\/div>\r\n\t<div class=\"row\">\r\n\t\t<textarea name=\"text\" class=\"control full\" rows=\"5\"><\/textarea>\r\n\t<\/div>\r\n\t\r\n\t\t<div class=\"row row-cpt captcha-and-rating\">\r\n\t\t<div class=\"cpt\"><img src=\"captcha\/image.php?8449\" alt='captcha'\/><\/div>\r\n\t\t<input class=\"input_captcha\" id=\"comment_captcha\" type=\"text\" name=\"captcha_code\" value=\"\" data-format=\"\\d\\d\\d\\d\" placeholder=\"\u0412\u0432\u0435\u0434\u0438\u0442\u0435 \u0446\u0438\u0444\u0440\u044b \u0441 \u043a\u0430\u0440\u0442\u0438\u043d\u043a\u0438\"\/>\r\n\t\t\t\r\n\t<\/div>\t\r\n\t\t\r\n\t<div class=\"row\">\r\n\t\t<div class=\"col-swga-6 col-smart-6\">\r\n\t\t\t\t\t\t<div class=\"row row-message\">\r\n\t\t\t\t<input type=\"checkbox\" name=\"type_insert\" value=\"1\" \/> \u041f\u043e\u0434\u043f\u0438\u0441\u0430\u0442\u044c\u0441\u044f \u043d\u0430 \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u0435 \u043e\u0442\u0432\u0435\u0442\u043e\u0432 \u043d\u0430 e-mail\r\n\t\t\t\t<br \/>\t\r\n\t\t\t<\/div>\r\n\t\t\t<input type=\"submit\" name=\"\" class=\"btn btn-blue full\" value=\"\u041e\u0442\u043f\u0440\u0430\u0432\u0438\u0442\u044c\">\r\n\t\t<\/div>\r\n\t<\/div>\r\n<\/form>\r\n"