document.writeln('<script src=\"/ks_inc/lhgdialog.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp\" onSubmit=\"return(form_c());\"  method=\"post\"> ')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ChannelID}\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"{$InfoID}\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">姓名：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_name\" name=\"KS_name\" value=\"\"><span class=\"formstrck\" id=\"姓名|%|KS_name|%|1\" style=\"display:none\"></span><font color=\"red\"> * </font> <span style=\"margin-')
document.writeln('top:5px\">姓名</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">性别：</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_sex\" name=\"KS_sex\" value=\"男\">男<input type=\"radio\" id=\"KS_sex\" name=\"KS_sex\" value=\"女\">女<input type=\"radio\" id=\"KS_sex\" name=\"KS_sex\" value=\"儿童\">儿童<input type=\"radio\" id=\"KS_sex\" name=\"KS_sex\" value=\"学')
document.writeln('生\">学生<span class=\"formstrck\" id=\"性别|%|KS_sex|%|6\" style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">电话：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_tel\" name=\"KS_tel\" value=\"1\"><span class=\"formstrck\" id=\"电话|%|KS_tel|%|4\" style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">希望回复时间：</td>')
document.writeln('  <td><input type=\"checkbox\" id=\"KS_time\" name=\"KS_time\" value=\"早\">早<input type=\"checkbox\" id=\"KS_time\" name=\"KS_time\" value=\"中\">中<input type=\"checkbox\" id=\"KS_time\" name=\"KS_time\" value=\"晚\">晚<input type=\"checkbox\" id=\"KS_time\" ')
document.writeln('name=\"KS_time\" value=\"电话\">电话<input type=\"checkbox\" id=\"KS_time\" name=\"KS_time\" value=\"微信\">微信<input type=\"checkbox\" id=\"KS_time\" name=\"KS_time\" value=\"邮件\">邮件<span class=\"formstrck\" id=\"希望回复时间|%|KS_time|%|7\" ')
document.writeln('style=\"display:none\"></span><font color=\"red\"> * </font> <span style=\"margin-top:5px\">希望回复时间</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">邮箱：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_mail\" name=\"KS_mail\" value=\"\"> <span style=\"margin-top:5px\">邮箱</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">备注：</td>')
document.writeln('  <td><textarea style=\"width:200px;height:100px\" rows=\"5\" id=\"KS_text\" name=\"KS_text\"></textarea> <span style=\"margin-top:5px\">简略说明</span>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td class=\"lefttdbg\" align=\"right\">验证码：</td><td><input name=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><span style=\"color:#999\">请输入下图中的字符</span><br/><IMG style=\"cursor:pointer\" src=\"/plus/verifycode.asp\" ')
document.writeln('onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\" align=\"absmiddle\"></td></tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td></tr>')
document.writeln('</form>')
document.writeln('</table>')
document.writeln('')