<div class="chat-lead">
    ylc.lead
</div>
<form id="YLC_popup_form" action="">
    <label for="YLC_field_name">
        ylc.field_name
    </label>:
    <div class="form-line">
        <input type="text" name="user_name" id="YLC_field_name" placeholder="ylc.name_ph">
        <i class="chat-ico fa fa-user"></i>
    </div>
    <label for="YLC_field_email">
        ylc.field_email
    </label>:
    <div class="form-line">
        <input type="email" name="user_email" id="YLC_field_email" placeholder="ylc.email_ph">
        <i class="chat-ico fa fa-envelope-o"></i>
    </div>
    <div class="chat-send">
        <div id="YLC_popup_ntf" class="chat-ntf"></div>
        <a href="javascript:void(0)" id="YLC_login_btn" class="chat-form-btn" style="ylc.btn_styles">
            ylc.btn_text
        </a>
    </div>
</form>
