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=\"13\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"5\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"976\" 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\">联系人：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:300px\" id=\"KS_lxr\" name=\"KS_lxr\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">手机号码：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:300px\" id=\"KS_sjhm\" name=\"KS_sjhm\" value=\"\"><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">电子邮件：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:300px\" id=\"KS_dzyx\" name=\"KS_dzyx\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">采购意向描述：</td>')
document.writeln('  <td><textarea style=\"width:484px;height:125px\" rows=\"5\" id=\"KS_cgms\" name=\"KS_cgms\"></textarea>  </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('')