<form style="    display: block;
     max-width: 100%;
     width: 480px;
     margin: 10px auto;
     border: 2px dashed #555;
     padding: 15px;
     background: #fffacd none repeat scroll 0% 0%;"  class="orderForm x_order_form order_all" action="" method="post" onsubmit="if(this.name.value==''){alert('Введите Ваше имя!');return false}if(this.phone.value==''){alert('Введите Ваш номер телефона!');return false}urlGen(this);return true;">
     <div class="order_form">
        <div class="block_form">
           <label class="block_form_label">ชื่อของคุณ:</label>
           <div>
              <input style="display: block;
                 height: 38px;
                 padding-left: 2px;
                 border: #888 1px solid;
                 font-size: 15px;
                 -webkit-border-radius: 5px;
                 -moz-border-radius: 5px;
                 border-radius: 5px;
                 width: 100%;
                 background: #fff;" class="form_input -metrika-nokeys" name="name" placeholder="ชื่อของคุณ">
           </div>
        </div>
        <div class="block_form">
           <label class="block_form_label">โทรศัพท์ของคุณ:</label>
           <div>
              <input style="display: block;
                 height: 38px;
                 padding-left: 2px;
                 border: #888 1px solid;
                 font-size: 15px;
                 -webkit-border-radius: 5px;
                 -moz-border-radius: 5px;
                 border-radius: 5px;
                 width: 100%;
                 background: #fff;" class="form_input phone_n -metrika-nokeys" name="phone" id="phone" placeholder="โทรศัพท์ของคุณ" type="tel">
              <input type="hidden" name="product_id" value="2499"/>
              <input type="hidden" name="ref" value="29532"/>
           </div>
        </div>
        <div class="clear"></div>
        <button style="cursor: pointer;
           letter-spacing: .4px;
           font-weight: 600!important;
           border: none;
           border-bottom-color: currentcolor;
           border-bottom-style: none;
           border-bottom-width: medium;
           font-family: calibri,roboto,arial;
           display: block;
           margin: 20px auto;
           color: #fff;
           font-size: 20px;
           text-decoration: none;
           text-align: center;
           width: auto;
           line-height: 32px;
           height: auto;
           background: #e74c3c;
           border-bottom: 2px solid #c0392b;
           -webkit-border-radius: 3px;
           -moz-border-radius: 3px;
           border-radius: 3px;
           min-height: 51px;
           padding: 0 14px;" class="button order-btn" type="submit">ที่จะได้รับ <span class="hidden-pzero">สำหรับ</span> <font class="price_only4156">900</font> <span class="price_land_curr" style="text-transform:uppercase;"><font class="price_currency">руб</font></span></button>
     </div>
  </form>