.template_footer_form h2.module_title {
	margin: 0;
	margin-bottom: 20px;
	font-weight: 500;
	text-transform: uppercase;
	font-size: 20px;
	border-left: 5px solid #fff;
	padding-left: 8px;
	line-height: 1.2;
}

.template_footer_form .module_body {
	background: #fff;
	padding: 35px 20px;
}

.template_footer_form .field_row {
	font-size: 0;
	border-radius: 5px;
	overflow: hidden;
	margin-bottom: 15px;
}

.template_footer_form .field_row:last-child {
	margin-bottom: 0;
}

.template_footer_form .field_row .field_edit:before {
	content: '';
	display: inline-block;
	vertical-align: top;
	width: 47px;
	height: 45px;
	background: #4a99fe url(../img/icon-man-white.png) no-repeat center;
}

.template_footer_form .field_row.phone .field_edit:before {
	background-image: url(../img/icon-phone-white.png);
}

.template_footer_form .field_row.mail .field_edit:before {
	background-image: url(../img/icon-mail-white.png);
}

.template_footer_form .button_mod_feedback {
	padding-top: 15px;
	border-radius: 0;
}

.template_footer_form .field_row_submit:before {
	display: none;
}

.template_footer_form input[type="text"],
.template_footer_form input[type="number"],
.template_footer_form input[type="email"] {
	display: inline-block;
	vertical-align: top;
	width: calc(100% - 47px);
	background: #e7f2ff;
	border: none;
	color: #000;
	font-size: 14px;
	line-height: 15px;
	font-weight: 500;
	padding: 15px;
}

.template_footer_form .button_mod_feedback input[type="submit"] {
	display: block;
	width: 100%;
	border-radius: 5px;
	padding: 15px 25px;
	font-size: 16px;
	line-height: 1.25;
	color: #fff;
	background: #4a99fe;
	background: linear-gradient(to right, #5b6fd6, #6277e3);
	border: none;
	cursor: pointer;
}

.template_footer_form .button_mod_feedback input[type="submit"]:hover,
.template_footer_form .button_mod_feedback input[type="submit"]:active,
.template_footer_form .button_mod_feedback input[type="submit"]:focus {
	background: #316ec2;
	background: linear-gradient(to right, #3170c3, #4690ef);
}

@media (min-width: 1200px) {
	.template_footer_form {
		width: 315px;
		margin-right: 65px;
	}

	.template_footer_form h2.module_title {
		margin-bottom: 45px;
		font-size: 24px;
	}
}