<section class="base-section  --spacing-md    s-re-agency-form">
  <div class="base-section__container container">
        <header class="base-header --left --underline">
      <div class="base-header__heading-wrapper">
      <h2 class="base-header__heading base-h1">Poptávka</h2>
      <div class="base-header__number">
        
      </div>
    </div>
    </header>
    <div class="g-re-agency-form">
  <form>

          <div class="f-wrap">
      
    <textarea class="f-base textarea" rows="5" placeholder="Text Vaší poptávky"></textarea>
  </div>
          <div class="f-wrap">
        <span class="input__wrapper position-relative">
      <span class="input__icon">
        <span class="icon">
  <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19.5 19.5"><defs><style>.cls-1{fill:none;stroke:#0062ab;stroke-linecap:round;stroke-linejoin:round;stroke-width:1.5px;}</style></defs><title>user</title><g id="Vrstva_2" data-name="Vrstva 2"><g id="Vrstva_1-2" data-name="Vrstva 1"><circle class="cls-1" cx="9.75" cy="9.75" r="9"/><path class="cls-1" d="M15.6,16.45c-.43-2-2.87-3.59-5.85-3.59S4.33,14.42,3.9,16.45"/><circle class="cls-1" cx="9.75" cy="7.26" r="3.4"/></g></g></svg>
  </span>
      </span>
    </span>
  
  <span class="f-input__wrapper position-relative">
        <input class="f-base" type="text" placeholder="Jméno a příjmení">
      </span>

</div>
          <div class="f-wrap">
        <span class="input__wrapper position-relative">
      <span class="input__icon">
        <span class="icon">
  <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 19.5 15.46"><defs><style>.cls-1{fill:none;stroke:#0062ab;stroke-linecap:round;stroke-linejoin:round;stroke-width:1.5px;}</style></defs><title>mail</title><g id="Vrstva_2" data-name="Vrstva 2"><g id="Vrstva_1-2" data-name="Vrstva 1"><rect class="cls-1" x="0.75" y="0.75" width="18" height="13.96" rx="2.12" ry="2.12"/><path class="cls-1" d="M14.75,4.73l-3.38,2a3.14,3.14,0,0,1-3.24,0l-3.38-2"/></g></g></svg>
  </span>
      </span>
    </span>
  
  <span class="f-input__wrapper position-relative">
        <input class="f-base" type="text" placeholder="Váš e-mail">
      </span>

</div>
          <div class="f-wrap">
        <span class="input__wrapper position-relative">
      <span class="input__icon">
        <span class="icon">
  <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 18.03 17.74"><defs><style>.cls-1{fill:none;stroke:#0062ab;stroke-linecap:round;stroke-linejoin:round;stroke-width:1.5px;}</style></defs><title>telefon</title><g id="Vrstva_2" data-name="Vrstva 2"><g id="Vrstva_1-2" data-name="Vrstva 1"><path class="cls-1" d="M8,9.94A12.58,12.58,0,0,1,5.39,6.42a1.14,1.14,0,0,1,.23-1.28l.62-.63a1.54,1.54,0,0,0,0-2.21l-.9-.87A2.4,2.4,0,0,0,2,1.48l-.36.37A3.18,3.18,0,0,0,.82,4.73a15.7,15.7,0,0,0,4.57,7.86,15.81,15.81,0,0,0,8,4.35,3.22,3.22,0,0,0,2.86-.89l.36-.38a2.41,2.41,0,0,0-.05-3.4l-.61-.59a1.92,1.92,0,0,0-2.7,0l-.41.43a1.12,1.12,0,0,1-1.27.26A12.55,12.55,0,0,1,8,9.94Z"/></g></g></svg>

  </span>
      </span>
    </span>
  
  <span class="f-input__wrapper position-relative">
        <input class="f-base" type="text" placeholder="Váš telefon">
      </span>

</div>
    
    <div class="g-re-agency-form__gdpr">Odesláním souhlasíte se zpracováním osobních údajů</div>

    <a class="btn --conversion" href='#'>    <span class="btn__title">Odeslat zprávu</span>
  
  </a>
  </form>
</div>

    </div>
</section>