<link href="/template/Default/css.css" rel="stylesheet" type="text/css">
<style type="text/css">
	
td{font-size:12px;color:#444444;line-height:18px}
a:link,a:visited {color:#6C6C6C;text-decoration: none;font-size:12px;font-family:arial;line-height:16px}
a:hover{color:#bc2931;text-decoration: none;}
.wenbenkuang {
	BORDER-RIGHT: #7F9DB9 1px solid;
	BORDER-TOP: #7F9DB9 1px solid;
	FONT-SIZE: 9pt;
	BORDER-LEFT: #7F9DB9 1px solid;
	COLOR: #333333;
	BORDER-BOTTOM: #7F9DB9 1px solid;
	FONT-FAMILY: "arial"
}
.go-wenbenkuang {
	BORDER-RIGHT: #666666 1px solid;
	PADDING-RIGHT: 1px; BORDER-TOP: #ffffff 1px solid;
	PADDING-LEFT: 1px;
	FONT-SIZE: 9pt;
	PADDING-BOTTOM: 1px;
	BORDER-LEFT: #ffffff 1px solid;
	CURSOR: hand;
	COLOR: #333333;
	PADDING-TOP: 1px;
	BORDER-BOTTOM: #666666 1px solid;
	FONT-FAMILY: "arial";
	HEIGHT: 19px;
	BACKGROUND-COLOR: #eeeeee
}
body {
	background-color: #f5f9fa;
}
.red{font-size:12px;color:#FF0000}
</style><table cellspacing="1" cellpadding="5" width="100%" align="center" border="0" style=" background:url(/images/xinxi.gif) top left no-repeat;">
           <SCRIPT> 
<!--
function $(element){return document.getElementById(element);}
function test(obj){var i,myObj,flag;flag=true;myObj=document.getElementsByName(obj);for(i=0;i<myObj.length;i++){if(myObj[i].checked){flag=false;break;};};return flag;};
function checkForm(){if(test('MessageType')){alert("您想提出哪一类的意见或建议?");return false;};if($('Comments').value==""){alert("请输入您的意见或建议");$('Comments').focus();return false;};if($('Username').value==""){alert("请输入输入您的姓名");$('Username').focus();return false;};var email=$('Email').value;if((email=="")||(email.indexOf('@')==-1)||(email.indexOf('.')==-1)){alert("您输入的电子邮件不正确，请重新输入，谢谢！");$('Email').focus();return false;};if($('UserTel').value==""){alert("请输入您的电话");$('UserTel').focus();return false;};};
-->
</SCRIPT> <form action="/sex/addinfo.asp" method="post" onsubmit="return checkForm();">
              <tbody>
                <tr>
                  <td width="13%"><img src="../images/s.gif" width="160" height="1"></td>
                  <td width="87%" height="30"><strong>您想提出哪一类的意见或建议?</strong></td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td height="17"><input name="action" type="hidden" value="addagent">
				  <input type="radio" value="投诉" 
                  name="MessageType" />
                    投诉&nbsp;&nbsp;&nbsp;&nbsp;
                    <input type="radio" value="问题" 
                  name="MessageType" />
                    问题 &nbsp;&nbsp;&nbsp;&nbsp;
                    <input name="MessageType" type="radio" 
                  value="建议" checked />
                    建议 &nbsp;&nbsp;&nbsp; </td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td height="30"><strong>您想提出哪方面的意见或建议?</strong></td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td><select name="Subject" size="1"  id="Subject">
                   
                    <option value="关于产品" selected>关于产品</option>
                    <option value="关于服务">关于服务</option>
           
                  </select>
                    其他：
                    <input name="SubjectOther"  id="SubjectOther" size="26" maxlength="256" value="" class="wenbenkuang"/></td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td><strong>请在下面留下您的意见或建议：</strong>
                    <p align="left">
                      <textarea name="Comments" cols="55" rows="5"  id="Comments" class="wenbenkuang"></textarea>
                      <br>
                      <br>                  
                  </td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td height="30"><strong>请告诉我们如何与您取得联系：</strong></td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td height="30">您的姓名：
                    <input  id="Username" 
                  maxlength="256" size="35" name="Username"  class="wenbenkuang"/></td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td height="30">电子邮件：
                    <input  id="Email" 
                  maxlength="256" size="35" name="Email" class="wenbenkuang" />
                    <br />
                    <span class="red">请务必正确填写，将以邮件形式回复，请及时查看邮件！</span></td>
                </tr>
                <tr>
                  <td height="36">&nbsp;</td>
                  <td height="30">您的电话：
                    <input name="UserTel"  id="UserTel" 
                  size="35" maxlength="256"  class="wenbenkuang"/></td>
                </tr>
                <!--<TR>
                <TD height="30"><INPUT type=checkbox value=请看到后尽快与我联系 
                  name=尽快联系> 请看到后尽快与我联系。 </TD></TR>-->
                <tr>
				<td height="36">　</td>
				<td height="30">验证码　：
                  <input type="text" name="getcode" size="5" class="wenbenkuang">
                  <img src="../xpinc/GetCode.asp" align="absmiddle"></td>
				<td height="30">&nbsp;</td>
                </tr><tr>
                  <td height="36" align="middle">&nbsp;</td>
                  <td align="middle" height="2"><input name="提交" type="submit" value="发送反馈单" class="go-wenbenkuang"/>
                  &nbsp;</td>
                </tr>
              </tbody>
            </form>
            <tr>
              <td height="30">&nbsp;</td>
              <td></TBODY></td>
            </tr>
          </table>