<?php defined('SYSTEM_IN') or exit('Access Denied');?><?php  include page('header');?>
<h3 class="header smaller lighter blue">线下发放</h3>
<form action="" class="form-horizontal" method="post" >
	  	  
			   <div class="form-group">
										<label class="col-sm-2 control-label no-padding-left" > 优惠券数量</label>

										<div class="col-sm-9">
												
									<input type="text" name="create_count" class="col-xs-10 col-sm-2" value="" />
										</div>
									</div>
									
									
											   <div class="form-group">
										<label class="col-sm-2 control-label no-padding-left" > </label>

										<div class="col-sm-9">
												
								
					<input name="submit" type="submit" value="提交" class="btn btn-primary span3">
										</div>
									</div>
		</form>
	
<?php  include page('footer');?>
								