document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"/statics/js/dialog.js\"></script><link href=\"/statics/css/table_form.css\" rel=\"stylesheet\" type=\"text/css\" /><link href=\"/statics/css/dialog.css\" rel=\"stylesheet\" type=\"text/css\" /><script type=\"text/javascript\" src=\"/statics/js/dialog.js\"></script><div class=\"box\">    <div class=\"content\"><form method=\"post\" action=\"/index.php?m=formguide&c=index&a=show&formid=14&siteid=1\" name=\"myform\" id=\"myform\"><table class=\"table_form\" width=\"100%\" cellspacing=\"0\"><tbody> <tr>      <th width=\"80\"> <font color=\"red\">*</font> 姓名  </th>      <td><input type=\"text\" name=\"info[xingming]\" id=\"xingming\" size=\"50\" value=\"\"  class=\"input-text\"  >  </td>    </tr><tr>      <th width=\"80\"> <font color=\"red\">*</font> 电话  </th>      <td><input type=\"text\" name=\"info[dianhua]\" id=\"dianhua\" size=\"50\" value=\"\"  class=\"input-text\"  >  </td>    </tr><tr>      <th width=\"80\"> <font color=\"red\">*</font> 需求  </th>      <td><select name=\'info[xuqiu]\' id=\'xuqiu\'><option value=\"学府院校健身房\" >学府院校健身房</option><option value=\"军警消防健身\" >军警消防健身</option><option value=\"私家健身房\" >私家健身房</option><option value=\"健身工作室\" >健身工作室</option><option value=\"酒店健身房\" >酒店健身房</option><option value=\"房地产会所\" >房地产会所</option><option value=\"企事业单位职工\" >企事业单位职工</option><option value=\"健身俱乐部\" >健身俱乐部</option></select>  </td>    </tr><tr>      <th width=\"80\"> 内容  </th>      <td><textarea name=\'info[neirong]\' id=\'neirong\' style=\'width:100%;height:70px;\'   ></textarea>  </td>    </tr><tr><td style=\"text-align:right;\">验证码</td><td colspan=\"2\"><span title=\"点击更换验证码\" style=\" cursor:pointer;\"><input type=\"text\" id=\"code\" name=\"code\" size=\"8\" class=\"input-text\"><img id=\'code_img\' onclick=\'this.src=this.src+\"&\"+Math.random()\' src=\'http://www.029fit.com/api.php?op=checkcode&code_len=4&font_size=14&width=84&height=24&font_color=&background=\'></span>请输入图片中的验证码</td></tr><tr><td></td><td><div class=\"submit ib\"><input class=\"formguide_button basic_bg\" type=\"submit\" name=\"dosubmit\" id=\"dosubmit\" value=\" 提交 \"></div> </td></tr></tbody></table></form>    </div></div>");