<div class="modal fade modal__step__custom " id="tires-hotel" tabindex="-1" role="dialog" aria-labelledby="callMeLabel"
aria-hidden="true">
<div class="modal-dialog modal__step__custom__dialog modal-dialog-centered" role="document">
<div class="modal-content modal__step__custom__content modal__step__custom-btn">
<div class="modal-header modal__step__custom__header">
<p class="modal-title modal__step__custom__title"
id="tires-hotel-title">{{ 'tires_hotel.modal_title'|trans({}, 'portal_base') }}</p>
<button type="button" class="close modal__step__custom__close" data-dismiss="modal"
data-bs-dismiss="modal" aria-label="Close">
<span aria-hidden="true">×</span>
</button>
</div>
{{ form_start(tiresHotelForm, {attr: {class: 'forms-sm lead-form pop-up', 'data-parent': 'tires-hotel', 'data-thank-popup': 'show', action: path( 'form_tires_hotel' )} }) }}
<div class="modal-body modal__step__custom__body">
<p class="modal__step__custom__text">{{ 'card_car.modal.contact_phone'|trans({}, 'portal_base') }}</p>
<div class="modal__step__custom__input">
{{ form_row(tiresHotelForm.name) }}
</div>
<div class="modal__step__custom__input">
{{ form_row(tiresHotelForm.phone) }}
</div>
<div class="modal__step__custom__input mb-4">
{{ form_row(tiresHotelForm.dealers) }}
</div>
<div class="col-md-12">
<fieldset class="text-center">
<p class="modal__step__custom__text">{{ 'card_car.modal.how_connect_u'|trans({}, 'portal_base') }}</p>
{{ form_row(tiresHotelForm.message_type) }}
</fieldset>
</div>
<div class="col-md-12">
<div class="form-group checkbox style-b js-form-privacy">
<label class="checkboxes__item-privacy">
<input type="checkbox" name="{{ tiresHotelForm.privacy.vars.full_name }}"
value="{{ tiresHotelForm.privacy.vars.value }}"
id="{{ tiresHotelForm.privacy.vars.id }}"/>
<div id="check_privacy" class="checkbox__checkmark form-control"></div>
<div class="checkbox__body">{{ 'multi_consultation.step_3.confirm'|trans({}, 'dc_base') }}
<a href="{{ privacyUrl }}"
target="_blank">{{ 'multi_consultation.step_3.confirm_more'|trans({}, 'dc_base') }}</a>
</div>
</label>
</div>
</div>
</div>
<div class="d-none">
{{ form_rest(tiresHotelForm) }}
</div>
<div class="modal-footer modal__step__custom__footer mt-0">
<button type="submit"
class="modal__step__custom__btn">{{ 'tires_hotel.modal_submit'|trans({}, 'portal_base') }}</button>
</div>
{{ form_end(tiresHotelForm) }}
</div>
</div>
</div>