document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp\" 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=\"0\" name=\"m\">')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"d\">')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">您的姓名：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_xingming\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">您的城市：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_chengshi\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">公司名称：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_gongsimc\" value=\"\"> <span style=\"margin-top:5px\">个人可留空</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">使用环境：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_huanjing\" value=\"\"> <span style=\"margin-top:5px\">您购买车辆所使用的场所，如：公路、工厂、学校、水泥厂、煤矿等等</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">填写内容：</td>')
document.writeln('  <td><textarea style=\"width:400px;height:200px\" rows=\"5\" name=\"KS_neirong\"></textarea> <span style=\"margin-top:5px\">填写您对车辆的配置要求等</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">联系方式：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" name=\"KS_lianxi\" value=\"\"> <select name=\"KS_lianxi_Unit\" id=\"KS_lianxi_Unit\"><option value=\'手机\'>手机</option><option value=\'座机\'>座机</option></select><font color=\"red\"> * </font> <span style=\"margin-top:5px\">手机或座机必须填写一项，以便我们给你回电。</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\" 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('')