{"status":"success","html":"\r\n<div class=\"box-modal add-adres-to-basket-window\">\r\n    <div class=\"remember-me-popup-head\">\r\n        <h3>\u0420\u0435\u0434\u0430\u043a\u0442\u0438\u0440\u0443\u0435\u043c \u0430\u0434\u0440\u0435\u0441<\/h3>\r\n        <a href=\"#\" class=\"box-modal_close arcticmodal-close remember-me-popup-close\">close<\/a>    <\/div>\r\n    <form action=\"#\" method=\"post\" id='address_form' class=\"the-cart-form\" block-id=\"\">\r\n    <div class=\"remember-me-popup-body body_text\">\r\n        <ul class=\"shipping-fields row\">\r\n                    <div class=\"field_grid col-md-12\">\r\n                <label for=\"element_12\" >\u041a\u043e\u043c\u043f\u0430\u043d\u0438\u044f<\/label>\r\n                <div class=\"input-box\">\r\n                                        <input type=\"text\" id=\"element_12\" name=\"element[12]\" value=\"\" class=\"input-text \" style=\"width: 90%;\">\r\n                                    <\/div>\r\n                            <\/div>\r\n                    <div class=\"field_grid col-md-12\">\r\n                <label for=\"element_11\" class=\"required\">\u0410\u0434\u0440\u0435\u0441<\/label>\r\n                <div class=\"input-box\">\r\n                                            <textarea style=\"width: 90%; height: 70px;\" id=\"element_11\" name=\"element[11]\" ><\/textarea>\r\n                                    <\/div>\r\n                            <\/div>\r\n                    <div class=\"field_grid col-md-12\">\r\n                <label for=\"city\" class=\"required\">\u0413\u043e\u0440\u043e\u0434<\/label>\r\n                <div class=\"input-box\">\r\n                                        <input type=\"text\" id=\"city\" name=\"city\" value=\"\" class=\"input-text \" style=\"width: 90%;\">\r\n                                    <\/div>\r\n                            <\/div>\r\n                    <div class=\"field_grid col-md-7\">\r\n                <label for=\"region_name\" >\u0420\u0435\u0433\u0438\u043e\u043d<\/label>\r\n                <div class=\"input-box\">\r\n                                        <input type=\"text\" id=\"region_name\" name=\"region_name\" value=\"\" class=\"input-text \" style=\"width: 90%;\">\r\n                                    <\/div>\r\n                            <\/div>\r\n                    <div class=\"field_grid col-md-4\">\r\n                <label for=\"index\" class=\"required\">\u0418\u043d\u0434\u0435\u043a\u0441<\/label>\r\n                <div class=\"input-box\">\r\n                                        <input type=\"text\" id=\"index\" name=\"index\" value=\"\" class=\"input-text \" style=\"width: 90%;\">\r\n                                    <\/div>\r\n                            <\/div>\r\n        <\/ul>    <\/div>\r\n<div class=\"clear\"><\/div>\r\n        <div class=\"buttons-set\">\r\n            <button type=\"button\" title=\"\u041f\u0440\u043e\u0434\u043e\u043b\u0436\u0438\u0442\u044c\" class=\"btn btn-default save_address\" style=\"float: right;\"><span><span>\u041f\u0440\u043e\u0434\u043e\u043b\u0436\u0438\u0442\u044c<\/span><\/span><\/button>\r\n        <\/div>\r\n    <\/div>\r\n    <\/form>\r\n<\/div>\r\n\r"}