<html>
<head>
<title>加盟申请表</title>
<link href="12.css" rel="stylesheet" type="text/css">
</head>
<body>
<form method="get" action="">
<table border="5">
<p>
<tr>
<td><img src="apply_1.gif"></td><br/>
<td><img src="apply_2.gif">
<h1>加盟申请表</h1>
<h4 >注打<strong>*</strong>号为必填项></h4>
</tr>
<tr>
<h2>代理申请基本信息</h2>
<td> 申请人姓名<strong>*</strong></td>
<td><input name="name" type="text" ></td>
<br/>
</tr>
<tr>
<td>籍贯<strong >*</strong></td>
<td><select name="kk">
<option value="0">请选择...</option>
</select>省
<input name="mm" value="请选择..." >区</td>
</tr>
<tr>
<td>性别<strong>*</strong></td>
<td><input name="gen" type="radio" class="input" value="男">男
<input name="gen" type="radio" class="input" value="女">女</td>
</tr>
<tr>
<td>身份证号<strong>*</strong></td>
<td><input name="mm" type="text"></td>
</tr>
<tr>
<td>联系地址<strong>*</strong></td>
<td><input name="gg" type="text"></td>
</tr>
<tr>
<td>电话<strong>*</strong></td>
<td><input name="gg" type="text"></td>
</tr>
<tr>
<td>电子邮箱<strong>*</strong></td>
<td><input name="gg" type="text"></td>
</tr>
<tr>
<td>加盟地区<strong>*</strong></td>
<td><input name="gg" type="text"></td>
</tr>
<tr>
<td>你是从哪里了解到我们的?</td>
<td><input type="checkbox" name="kk" value="n">Buidu
<input type="checkbox" name="kk" value="n">Google
<input type="checkbox" name="kk" value="n">电视广告
<input type="checkbox" name="kk" value="n">报刊杂志
<input type="checkbox" name="kk" value="n">路牌广告
<input type="checkbox" name="kk" value="n">朋友介绍</td>
<tr>
<td> </td>
<td>点击查看"Android"项目网上加盟免费声明
<a href="#p" ><strong>点击查看 </strong> </a>
<a name="p" ></a>
</td>
</tr>
<tr>
<td> </td>
<td>提交</td>
</tr>
</p>
</table>
</form>
</body>
</html>
p strong{font-size:14px;}
strong{color:red;}
h2{font-size:24px;}
h4 strong{font-size:12px;}