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Модуль запрос счета

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Здравствуйте, ищу модуль для запроса счета по типу как тут справа прикреплен, и если возможно без загрузки файла на сервер,а отправлялся что бы только на почту

Можно доработать какой нибудь из существующих модулей обратного звонка. Цена и сроки в лс.

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