vij/partials/formsubscript.php

<?php 
$ihash = add_hash_frm();?>


<div id="subscript_box">    
    <div id="convert"></div>   
    <div class="right_title"><?=vij_lang('email_title', LANG_VERSION);?></div>
    <div id="subscript-mail">
        <form class="form-right" id="form-right" action="https://vetandlife.ru/subscript" method="post">
            <input сlass="frm_mail" type="email" required name="email" placeholder="<?=vij_lang('your_mail', LANG_VERSION);?>">
            <?php wp_nonce_field('subscription_form_nonce', 'subscription_nonce'); ?>
            <input type="text" class="mytext" name="mytext" placeholder="Дополнительный текст">
            <input type="hidden" name="re_code" value="<?=$ihash['hash']?>">
            <div class="re_text">и выберете большее число</div>
            <button class="re_button" type="submit" name="re_num" value="<?=$ihash['num1'] ?>"><?= $ihash['num1'] ?></button>
            <button class="re_button" type="submit" name="re_num" value="<?= $ihash['num2'] ?>"><?= $ihash['num2'] ?></button>
        </form>
    </div>
</div>