</pre><pre name="code" class="html"><html>
<head>
<title>加盟申请表</title>
<style type="text/css">
h1{font-size:24px;}
h2{font-size:12px; color:blue;}
p{font-size:16px;}
#a{color:red;}
</style>
</head>
<body>
<table width="700">
<form method="post">
<tr>
<td><img src="C:\Users\Administrator\Desktop\apply_1.gif"></td>
</tr>
<tr>
<td width="200"><img src="C:\Users\Administrator\Desktop\apply_2.gif"></td>
<td><h1>加盟申请表<h1><br/><h2>注:打*为必填项</h2></td>
</tr>
<tr>
<td><p>代理申请基本信息</p></td>
</tr>
<tr>
<td width="200">申请人姓名<span id="a"> *</span></td>
<td><input name="name" type="text"></td>
</tr>
<tr>
<td width="200">籍贯<span id="a"> *</span></td>
<td><select name="sheng">
<option value="">请选择</option>
</select>省
<select name="sheng">
<option value="">请选择</option>
</select>区
</tr>
<tr>
<td width="200">性别<span id="a"> *</span></td>
<td><input name="gen" type="radio" class="input" value="nan">男
<input name="gen" type="radio" class="input" value="nv">女</td>
</tr>
<tr>
<td width="200">身份证号<span id="a"> *</span></td>
<td><input name="name1" type="text"></td>
</tr>
<tr>
<td>联系地址<span id="a"> *</span></td>
<td><input name="name2" type="text"></td>
</tr>
<tr>
<td>电话<span id="a"> *</span></td>
<td><input name="name3" type="text"></td>
</tr>
<tr>
<td>电子邮箱<span id="a"> *</span></td>
<td><input name="name4" type="text"></td>
</tr>
<tr>
<td>加盟地区<span id="a"> *</span></td>
<td><input name="name5" type="text"></td>
</tr>
<tr>
<td>你是从哪里了解到我们的?</td>
<td><input name="i" type="checkbox" value="a">Baidu
<input name="i" type="checkbox" value="b">Google
<input name="i" type="checkbox" value="c">电视广告
<input name="i" type="checkbox" value="d">报刊杂志
<input name="i" type="checkbox" value="e">路牌广告
<input name="i" type="checkbox" value="f">朋友介绍s</td>
</tr>
<tr>
<td></td>
<td><input name="j" type="checkbox" value="g"><span id="a">点击查看“Android”项目网上加盟免责声明</span> <a href="1.html" target="#">[点击查看]</a></td>
</tr>
<tr>
<td></td>
<td><p><input type="submit" name="tijiao" value="提交"></p></td>
</tr>
</table>
</body>
</html>
加盟申请表
最新推荐文章于 2022-09-18 15:54:54 发布