<script type="text/javascript">
  jQuery(function($){
  $(".phone").mask("+7 (999) 999-99-99");
  });
</script> 


<div></div>

<div class="b_form">


<form method="post">




 
<b>Ваш телефон:</b><span style="color:red">*</span><br /><input type="text" size="30" maxlength="100" value="" name="d[0]" id="d[0]"  class="phone" />

<br /><br />


 
<b>Ваше имя:</b><br /><input type="text" size="30" maxlength="100" value="" name="d[1]" id="d[1]"  />

<br /><br />





 



<input type="submit" value="Заказать обратный звонок" /><re-captcha data-captcha="recaptcha"
     data-name="captcha"
     data-sitekey="6LcNwrMcAAAAAOCVMf8ZlES6oZipbnEgI-K9C8ld"
     data-lang="ru"
     data-rsize="invisible"
     data-type="image"
     data-theme="light"></re-captcha></form>



</div>

<script src="/shared/misc/calendar.gen.js" type="text/javascript" language="javascript" charset="utf-8"></script>