div class feedback_block form action type form div class feedback_head

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<div class="feedback_block">
<form action="" type="form">
<div class="feedback_header">
<span class="to_me">Электронное заявление на путёвку</span>
</div>
<div class="registration_block">
<div class="registration_zone">
<label>Ваше имя <span>*</span></label>
<input type="text" id="name" name="name" class="input_zone" />
</div>
<div class="registration_zone">
<label for="mail">Ваш email <span>*</span></label>
<input type="email" id="mail" name="mail" class="input_zone" />
</div>
<div class="registration_zone">
<label for="country">Откуда вы? <span>*</span></label>
<select id="country" name="country" class="input_zone">
<option value="Россия">Россия</option>
<option value="Украина">Украина</option>
<option value="Беларусь">Беларусь</option>
<option value="Казахстан">Казахстан</option>
<option value="Грузия">Грузия</option>
</select>
</div>
<div class="gender_block">
<div class= "gender">
<label>Ваш пол <span>*</span></label>
</div>
<div class="radio_gender">
<input name="gender" type="radio" value="1" id="male" />
<label for="male" class="gender_name">
Мужской
</label>
<input name="gender" type="radio" value="2" id="female" class="female" />
<label for="female" class="gender_name">
Женский
</label>
</div>
</div>
<div class="registration_zone">
<label for="country">Куда хотите отправиться? <span>*</span></label>
<select id="country" name="country" class="input_zone">
<option value="Афганистан">Афганистан</option>
<option value="Сирия">Сирия</option>
<option value="ДНР">ДНР</option>
</select>
</div>
<div class="comment_block">
<div class="comment">
<label for="comment">Ваше пожелание к поездке</label>
</div>
<textarea id ="comment" name="comment" class="input_comment"></textarea>
</div>
<div class="send_button">
<input type="submit" value="Отправить" class="submit" />
</div>
</div>
</form>
</div>