document.writeln('<table width=\"100%\" border=\"0\" cellpadding=\"2\" cellspacing=\"5\" bordercolor=\"#CCCCCC\">')
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=\"1\" name=\"id\">')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">主题：</td>')
document.writeln('  <td height=\"30\"><input type=\"text\" class=\"upfile\" style=\"width:300px;height:20px;font:13px Tahoma;\" name=\"KS_zt\" value=\"\"><font color=\"red\"> * </font> <span style=\"margin-top:5px\">留言反馈主题</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">内容：</td>')
document.writeln('  <td><textarea style=\"width:300px;height:100px;font:13px Tahoma;\" rows=\"5\" name=\"KS_nr\"></textarea><font color=\"red\"> * </font> <span style=\"margin-top:5px\">留言反馈内容</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">联系人：</td>')
document.writeln('  <td height=\"30\"><input type=\"text\" class=\"upfile\" style=\"width:100px;height:20px;font:13px Tahoma;\" name=\"KS_lxr\" value=\"\"><font color=\"red\"> * </font> <span style=\"margin-top:5px\">联系人</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">联系电话：</td>')
document.writeln('  <td height=\"30\"><input type=\"text\" class=\"upfile\" style=\"width:150px;height:20px;font:13px Tahoma;\" name=\"KS_lxdh\" value=\"\"><font color=\"red\"> * </font> <span style=\"margin-top:5px\">联系电话</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">联系地址：</td>')
document.writeln('  <td height=\"30\"><input type=\"text\" class=\"upfile\" style=\"width:200px;height:20px;font:13px Tahoma;\" name=\"KS_lxdz\" value=\"\"><font color=\"red\"> * </font> <span style=\"margin-top:5px\">联系地址</span>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">e-mail邮箱：</td>')
document.writeln('  <td height=\"30\"><input type=\"text\" class=\"upfile\" style=\"width:200px;height:20px;font:13px Tahoma;\" name=\"KS_email\" value=\"\"><font color=\"red\"> * </font> <span style=\"margin-top:5px\">e-mail邮箱</span>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td height=\"30\" align=\"right\" class=\"lefttdbg\">验证码：</td>')
document.writeln('<td height=\"30\"><input name=\"Verifycode\" style=\"height:20px;font:13px Tahoma;\" type=\"text\" name=\"textbox\" size=5><IMG style=\"cursor:pointer\" src=\"/plus/verifycode.asp\" onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\" align=\"absmiddle\"></td>')
document.writeln('</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>')