document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"/statics/js/dialog.js\"></script><link href=\"/statics/css/table_form.css\" rel=\"stylesheet\" type=\"text/css\" /><link href=\"/statics/css/dialog.css\" rel=\"stylesheet\" type=\"text/css\" /><script type=\"text/javascript\" src=\"/statics/js/dialog.js\"></script><form method=\"post\"action=\"/index.php?m=formguide&c=index&a=show&formid=17&siteid=1\"  name=\"myform\" id=\"myform\" class=\"lyb-box-out\"><div class=\"lyb-box\"><h3> <font color=\"red\">*</font> 濮撳悕</h3><div class=\"lyb-item\"><input type=\"text\" name=\"info[name]\" id=\"name\" size=\"50\" value=\"\"  class=\"input-text\"  > </div></div><div class=\"lyb-box\"><h3> <font color=\"red\">*</font> 鎵嬫満</h3><div class=\"lyb-item\"><input type=\'text\' name=\'info[phone]\' id=\'phone\' value=\'\' size=\'\'  class=\'input-text\'  > </div></div><div class=\"lyb-box\"><h3> <font color=\"red\">*</font> 閭</h3><div class=\"lyb-item\"><input type=\"text\" name=\"info[mail]\" id=\"mail\" size=\"50\" value=\"\"  class=\"input-text\"  > </div></div><div class=\"lyb-box\"><h3> 鎵€鍦ㄥ湴</h3><div class=\"lyb-item\"><input type=\"text\" name=\"info[areas]\" id=\"areas\" size=\"50\" value=\"\"  class=\"input-text\"  > </div></div><div class=\"lyb-box\"><h3> <font color=\"red\">*</font> 鑱旂郴閮ㄩ棬</h3><div class=\"lyb-item\"><select name=\'info[tosome]\' id=\'tosome\'><option value=\"1\" >閿€鍞儴闂?/option><option value=\"2\" >閲囪喘閮ㄩ棬</option><option value=\"3\" >浜轰簨閮ㄩ棬</option><option value=\"4\" >鍏朵粬</option></select> </div></div><div class=\"lyb-box\"><h3> <font color=\"red\">*</font> 鏈夎瘽瑕佽</h3><div class=\"lyb-item\"><textarea name=\'info[tellus]\' id=\'tellus\' style=\'width:%;height:px;\'   ></textarea> </div></div><div class=\"lyb-box\"><h3><font color=\"red\">*</font>楠岃瘉鐮侊細</h3><div class=\"lyb-item\"><input type=\"text\" id=\"code\" name=\"code\" size=\"8\"><img id=\'code_img\' onclick=\'this.src=this.src+\"&\"+Math.random()\' src=\'/api.php?op=checkcode&code_len=4&font_size=14&width=140&height=30&font_color=&background=\'></div></div><div class=\"lyb-box\"><div class=\"submit ib tijiao\"><input type=\"submit\"  name=\"dosubmit\"id=\"dosubmit\" value=\" 鎻愪氦 \"></div> </div></form>");