<HTML><HEAD><TITLE>汇款登记</TITLE>
<SCRIPT language=JavaScript>
<!--
function checkdata() {
if (document.form1.UserName.value=="") {
window.alert("请输入汇款人姓名!")
document.form1.UserName.focus();
return false
}

if (document.form1.PayNumber.value=="") {
window.alert("请输入等待开通的客户编号!")
document.form1.PayNumber.focus();
return false
}

if (document.form1.MM_Month.value=="") {
window.alert("请输入正确的日期!")
document.form1.MM_Month.focus();
return false
}

if (document.form1.MM_Date.value=="") {
window.alert("请输入正确的日期!")
document.form1.MM_Date.focus();
return false
}

if (document.form1.MM_Hour.value=="") {
window.alert("请输入正确的日期!")
document.form1.MM_Hour.focus();
return false
}


if (document.form1.MM_Minute.value=="") {
window.alert("请输入正确的日期!")
document.form1.MM_Minute.focus();
return false
}

if (document.form1.PayCount.value=="") {
window.alert("请输入汇款金额!")
document.form1.PayCount.focus();
return false
}

if (document.form1.ReplyMobile.value=="") {
window.alert("请输入联系电话!")
document.form1.ReplyMobile.focus();
return false
}
return true
}
//-->
</SCRIPT>

<META http-equiv=Content-Type content="text/html; charset=gb2312"><LINK 
href="include/e1.css" type=text/css rel=stylesheet>
<META content="Microsoft FrontPage 4.0" name=GENERATOR></HEAD>
<BODY bgColor=#ffffff>
<br>
<FORM name=form1 onsubmit="return checkdata()" action=huikuancheck.asp method=post>
  <table align="center" bgcolor="#AAAAAA" border="0" cellpadding="0" cellspacing="0"  width="95%">
    <tr><td>
        <TABLE cellSpacing=1 cellPadding=5 width=100% align=center 
border=0>
          <TBODY>
            <TR class="tdTitle"> 
              <TD align=middle colspan="2"> 
                <div align="center"><B><FONT size=3 color="#FFFFFF">汇 款 登 记 </FONT></B></div></TD></TR>		  
      <TR bgColor=#ffffff> 
        <TD align=right width=192 height=25>汇款人姓名：</TD>
        <TD width=553 height=25>
<INPUT size=10 name=UserName>
          (<font color=#ff0000>*</font>) </TD>
      </TR>
      <TR bgColor=#ffffff> 
        <TD align=right width=192 height=25>汇款日期：</TD>
        <TD width=553 height=25>
		<INPUT maxLength=4 size=4 name=MM_Year value=<% =year(now)%>>
		年
<INPUT maxLength=2 size=2 name=MM_Month value=<% =month(now)%>>
          月 
          <INPUT 
      maxLength=2 size=2 name=MM_Date value=<% =day(now)%>>
          日 
          <INPUT maxLength=2 size=4 name=MM_Hour>
                时 
                <INPUT maxLength=2 size=4 name=MM_Minute>
                分 
                <INPUT maxLength=2 size=4 name=MM_Second>
                秒</TD>
      </TR>
      <TR bgColor=#ffffff> 
        <TD align=right width=192 height=25>汇款金额：</TD>
        <TD width=553 height=25>
<INPUT name=PayCount value="0" maxLength=15>
          (<font color=#ff0000>*</font>) </TD>
      </TR>
      <TR bgColor=#ffffff> 
              <TD align=right width=192 height=25>汇款银行：</TD>
        <TD width=553 height=25>
<INPUT maxLength=50 name=PayBankName>
          (<font color=#ff0000>*</font>) </TD>
      </TR>
<TR bgColor=#ffffff> 
              <TD align=right width=192 height=25>柜员号：</TD>
        <TD width=553 height=25>
<INPUT name=TuiJianName>
              </TD>
      </TR>	  
      <TR bgColor=#ffffff> 
              <TD align=right width=192 height=25>等待开通的会员卡号：</TD>
        <TD width=553 height=25>
<INPUT name=PayNumber>
          (<font color=#ff0000>*</font>) </TD>
      </TR>
      <TR bgColor=#ffffff> 
        <TD align=right width=192 height=25>联系电话：</TD>
        <TD width=553 height=25>
<INPUT name=ReplyMobile>
              </TD>
      </TR>
<TR bgColor=#ffffff style="display:none"> 
        <TD align=right width=192 height=25>服务人编号：</TD>
        <TD width=553 height=25>
<INPUT name=GuanliName>
              </TD>
      </TR>
  	  
      <TR align=middle bgColor=#ffffff> 
        <TD colSpan=2 height=22><INPUT type=submit value=提交 name=Submit3 class="b02">&nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=reset value=重填 name=Submit4   class="b02"> 
          <INPUT type=hidden value=290
      name=TxtType> </TD>
      </TR>
    </TBODY>
  </TABLE>
  </td></tr></table>
</FORM>
<P>
<SCRIPT src="huikuan.files/mystat.htm"></SCRIPT>
</P></BODY></HTML>
