{include file="header.html"}
<div class="row">
<div class="span2">{include file="user_left.html"}</div>
<div class="span10">
<ul class="nav nav-tabs">
<li><a href="/index.php?m=user_address">收货地址管理</a></li>
<li class="active"><a href="/index.php?m=user_address&a=add">收货地址添加</a></li>
</ul>

<form method='post' action='/index.php?m=user_address&a=save'>
<input type='hidden' name='id' id='id' value='{$data.id}' >
 <table class='table table-bordered' width='100%'>
 
  <tr><td>所在地区</td><td>
  <select name="province_id" id="ajax_province_id">
  	<option value="0">请选择</option>
    {foreach item=c key=k from=$province_list}
    <option value="{$k}" {if $data.province_id eq $k} selected{/if}>{$c}</option>
    {/foreach}
  </select>
  
  
  <select name="city_id" id="ajax_city_id">
  	<option value="0">请选择</option>
    {foreach item=c key=k from=$city_list}
    <option value="{$k}"  {if $data.city_id eq $k} selected{/if}>{$c}</option>
    {/foreach}
  </select>
  
  <select name="town_id" id="ajax_town_id">
  	<option value="0">请选择</option>
    {foreach item=c key=k from=$town_list}
    <option value="{$k}"  {if $data.town_id eq $k} selected{/if}>{$c}</option>
    {/foreach}
  </select>
  
  </td></tr>
  <tr><td width="18%">详细地址：</td><td width="82%"><input type='text' name='address' id='address' value='{$data.address}' ></td></tr>
  <tr><td>手机：</td><td><input type='text' name='telephone' id='telephone' value='{$data.telephone}' ></td></tr>
  <tr><td>姓名：</td><td><input type='text' name='truename' id='truename' value='{$data.truename}' ></td></tr>
 
  <tr><td>邮编地址：</td><td><input type='text' name='zip_code' id='zip_code' value='{$data.zip_code}' ></td></tr>
  
   
   
<tr><td></td><td><input type='submit' value='保存' class='btn btn-success'></td></tr> </table>
</form>
</div>
</div>
 
{include file="footer.html"}