<div class="alert_box"></div>
<form>
<input type="text" name="customer_name" value="" placeholder="<?php
echo I18n::t('Your name');
?>
">
<input type="text" name="customer_email" value="" placeholder="<?php
echo I18n::t('Email');
?>
">
<input type="text" name="customer_phone_number" value="" placeholder="<?php
echo I18n::t('Phone number');
?>
">
<?php
echo ReCaptcha::widget(['name' => 'captcha', 'siteKey' => '6Lc6DBkTAAAAAMawyuTjwL1Ut0sMHVlBKvpkImZ3', 'widgetOptions' => ['data-size' => 'normal']]);
?>
<button name="submit" class="submit_bt" style="display:table;margin:6px auto"><?php
echo I18n::t('Submit');
?>
</button>
</form>
<div class="clr"></div>
</div>
<?php
}
?>
<div class="_info_details">
<h3 class="_details_name" style="z-index:102">
<?php
echo mb_convert_case(I18n::t('Product description'), MB_CASE_UPPER, "UTF-8");
<div class="form-group">
<?php
echo $form->field($model, 'burn_name')->textInput();
?>
<p class="help-block">Optional. What you want to be called during the event. Your Legal name will be used if blank.</p>
</div>
<div class="form-group">
<?php
echo $form->field($model, 'email')->textInput();
?>
<p class="help-block">Make sure your email address is correct so the team leads can contact you about your shifts.</p>
</div>
<?php
echo \himiklab\yii2\recaptcha\ReCaptcha::widget(['name' => 'reCaptcha']);
?>
<div class="form-group">
<?php
echo Html::submitButton('Signup', ['class' => 'btn btn-primary', 'name' => 'signup-button']);
?>
</div>
<?php
ActiveForm::end();
?>
</div>
</div>
</div>
