<form enctype="multipart/form-data" method="post" action="/include/data_collection.aspx" onsubmit="return Check_ZdyForm('zdyform_01','cn',0)" name="zdyform_01">
<table cellspacing="1" cellpadding="5" width="95%" align="center" bgcolor="#cccccc" border="0">
<tbody>
<tr bgcolor="#ffffff">
<td align="right">姓名 <span style="color: #ff0000">*</span></td>
<td><input id="Id_pa_xingming" style="height: 20px; width: 150px" maxlength="150" name="pa_xingming" type="text" /></td>
</tr>
<tr bgcolor="#ffffff">
<td align="right">性别 <span style="color: #ff0000">*</span></td>
<td><input type="radio" name="pa_xingbie" value="1" />男 <input type="radio" name="pa_xingbie" value="2" />女</td>
</tr>
<tr bgcolor="#ffffff">
<td align="right">电话 <span style="color: #ff0000">*</span></td>
<td><input id="Id_pa_dianhua" style="height: 20px; width: 200px" maxlength="150" name="pa_dianhua" type="text" /></td>
</tr>
<tr bgcolor="#ffffff">
<td align="right">QQ </td>
<td><input id="Id_pa_qq" style="height: 20px; width: 200px" maxlength="150" name="pa_qq" type="text" /></td>
</tr>
<tr bgcolor="#ffffff">
<td align="right">备注 </td>
<td><textarea id="Id_pa_beizhu" style="height: 100px; width: 300px" name="pa_beizhu"></textarea></td>
</tr>
<tr bgcolor="#ffffff">
<td colspan="2" align="center"><input type="hidden" name="show" value="0" /><input type="hidden" name="mailto" /><input type="hidden" name="mailreplay" /><input type="hidden" name="mailsubject" /><input type="hidden" name="mailbody" /><input type="hidden" name="sendmail" value="0" /><input type="hidden" name="insertdatabase" value="1" /><input type="hidden" name="language" value="cn" /><input type="hidden" name="hscode" value="0" /><input type="hidden" name="zdyform_url" /><input type="hidden" name="formid" value="1" /><input type="hidden" name="formtable" value="zdyform_01" /><input type="hidden" name="mustname" value="姓名,性别,电话," /><input type="hidden" name="mustfield" value="pa_xingming,pa_xingbie,pa_dianhua," /><input type="hidden" name="musttype" value="text,radio,text," /><input class="bt" type="submit" onclick="set_zdyform_01()" value="提交" /> <input class="bt" type="reset" value="重设" /></td>
</tr>
</tbody>
</table>
</form>
<script type="text/javascript">
function set_zdyform_01()
{
document.forms["zdyform_01"].show.value="0";
document.forms["zdyform_01"].insertdatabase.value="1";
document.forms["zdyform_01"].sendmail.value="0";
document.forms["zdyform_01"].mailto.value="";
document.forms["zdyform_01"].mailreplay.value="";
document.forms["zdyform_01"].mailsubject.value="";
document.forms["zdyform_01"].mailbody.value="";
}
</script>