<!--#include file="../../../tpl/ac/top.tpl"-->

<TABLE style="Z-INDEX: 100" border=0 cellSpacing=0 cellPadding=0 width=950 bgColor=#f6f3e1 align=center>
  <TBODY>
  <TR>
    <TD vAlign=top>
      <TABLE style="Z-INDEX: 100" border=0 cellSpacing=0 cellPadding=0 width=950 
      align=center>
        <TBODY>
        <TR>
          <TD vAlign=top width=240><!--#include file="../../../tpl/ac/left.tpl"--></TD>
          <TD vAlign=top width=710>
            <TABLE style="Z-INDEX: 100; MARGIN-TOP: 10px" border=0 cellSpacing=0 
            cellPadding=0 width=697 align=center>
              <TBODY>
              <TR>
                <TD>
                  <TABLE style="Z-INDEX: 100" border=0 cellSpacing=0 
                  cellPadding=0 width=697 background=/tpl/ac/images/rgt1.png 
                  align=center height=31>
                    <TBODY>
                    <TR>
                      <TD class=td_01>客户心声</TD></TR></TBODY></TABLE>
			  <TABLE style="Z-INDEX: 100" border=0 cellSpacing=0 cellPadding=0 width=697 background=/tpl/ac/images/rgt2.png align=center>
				<TBODY>
				<TR>
				  <TD>
<form action="/tpl/gbookSave.asp?id={anxinMall:field.userid}" method="post" name="form1" id="form1" onsubmit="return emailt()">
<table width="680" height="409" border="0" align="center" cellpadding="3" cellspacing="1" bgcolor="#E3E3E3">
  <tr>
	<input type="hidden" name="shjiaid" value="{anxinMall:field.userid}" />
	<td height="25" align="right" bgcolor="#FFFFFF">主题： </td>
	<td height="25" align="left" bgcolor="#FFFFFF"><!-- Title --><input type="text" name="fksubject" size="42" maxlength="36" style="font-size: 14px" />
	*</td>
  </tr>
  <tr>
	<td height="25" align="right" bgcolor="#FFFFFF">内容 *：</td>
	<td height="25" align="left" bgcolor="#FFFFFF"><!-- Content --><textarea rows="10" name="fkcontent" cols="45" style="font-size: 14px" ></textarea></td>
  </tr>
  <tr>
	<td width="23%" height="25" align="right" bgcolor="#FFFFFF">姓名：</td>
	<td width="77%" height="-6" align="left" bgcolor="#FFFFFF"><font>
	  <input type="text" name="fkusername" size="30" maxlength="36" value="" style="font-size: 14px" />
	</font>* </td>
  </tr>
  <tr>
	<td width="23%" height="25" align="right" bgcolor="#FFFFFF">电话：</td>
	<td width="77%" height="-6" align="left" bgcolor="#FFFFFF"><font>
	  <input type="text" name="fktel" size="30" maxlength="36" value="" style="font-size: 14px" />
	</font>* </td>
  </tr>
  <tr>
	<td width="23%" height="25" align="right" bgcolor="#FFFFFF">QQ：</td>
	<td width="77%" height="-6" align="left" bgcolor="#FFFFFF"><font>
	  <input type="text" name="fkemail" size="30" maxlength="36" value="" style="font-size: 14px" />
	</font>* </td>
  </tr>
  <tr>
	<td width="23%" height="0" valign="top" bgcolor="#FFFFFF"></td>
	<td width="77%" height="0" valign="top" bgcolor="#FFFFFF"><input type="submit" value="提交留言" name="cmdOk" />
		<input type="reset" value="重写" name="cmdReset" />
	</td>
  </tr>
</table>
</form>

<TABLE style="Z-INDEX: 100" border=0 cellSpacing=0 cellPadding=0 width="697" background=/tpl/ac/images/rgt3.png align=center height=7><TBODY><TR><TD></TD></TR></TBODY></TABLE>

					  </TD></TR></TBODY></TABLE>
					  </TD></TR></TBODY></TABLE></TD></TR></TBODY></TABLE>


<!--#include file="../../../tpl/ac/bottom.tpl"-->