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

<TABLE border=0 cellSpacing=0 cellPadding=0 width=975 align=center>
  <TBODY>
  <TR>
    <TD height=71 vAlign=top width=10><!--#include file="../../../tpl/af/left.tpl"--></TD>

    <TD bgColor=#ffffff vAlign=top width=965>
      <TABLE border=0 cellSpacing=0 cellPadding=0 width="100%" align=center>
        <TBODY>
        <TR>
          <TD><IMG src="/tpl/af/images/ly.jpg" width=724 height=36></TD></TR>
        <TR>
          <TD height=475><BR>
            <TABLE border=0 cellSpacing=0 cellPadding=0 width="93%" 
align=center>
              <TBODY>
              <TR>
                <TD height=138>
                  <TABLE border=0 cellSpacing=0 cellPadding=0 width="100%">
                    <TBODY>
                    <TR>
                      <TD vAlign=top background="">

<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>


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


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