第四章 作业4
2016-10-14 16:54
162 查看
<html> <head> <title>加盟申请表</title> <style type="text/css"> .c{color:blue;font-size:12px;} .m{font-size:18px;} p{font-size:24px} #a{color:red;font-size:14px;} </style> </head> <body> <table border="0" width="750"> <tr> <td><img src="apply_1.gif"><td> </tr> <tr> <td><img src="apply_2.gif"></td> <td><p>加盟申请表</p><br/><p class="c">注: 打*为必填项</p></td> </tr> <tr><td><p class="m">代理申请基本信息</p></td></tr> <tr> <td >申请人姓名<strong id="a">*</strong></td> <td><input name="name" type="text" /></td> </tr> <td>籍贯<strong id="a">*</strong></td> <td><select name="version" id="version">省 <option value="b">请选择....</option> <option value="q">....</option> </select> <select name="version" id="version">区 <option value="b">请选择....</option> <option value="q">其他</option> </select></td> <tr> <td>性别<strong id="a">*</strong></td> <td><input name="x" type="radio" value="nan" checked="checked" id="ma"><label for="ma">男 </label> <input name="x" type="radio" value="nv" id="mv"><label for="mv">女</label><br/></td> </tr> <tr> <td>身份证号<strong id="a">*</strong></td> <td><input name="sfz" type="text" /></</td> </tr> <tr> <td>联系地址<strong id="a">*</strong></td> <td><input name="dizhi" type="text" /></td> </tr> <tr> <td>电话<strong id="a">*</strong></td> <td><input name="dizhi" type="text" /></td> </tr> <tr> <td>电子邮件<strong id="a">*</strong></td> <td><input name="dizhi" type="text" /></td> </tr> <tr> <td>加盟地区<strong id="a">*</strong></td> <td><input name="dizhi" type="text" /></td> </tr> <tr> <td>你是从哪里了解到我们的?</td> <td><input name="x" type="checkbox" value="na" checked="checked">报刊 <input name="x" type="checkbox" value="ga" >百度 <input name="x" type="checkbox" value="a" >广告 <input name="x" type="checkbox" value="n" >朋友介绍<br/> </td> </tr> <tr> <td> </td> <td><p id="a"><input name="x" type="checkbox" value="k" >点击查看“Android”项目网上加盟免责声明 <a href="http://www.baidu.com">[点击查看]</a></p><br/> <input type="submit" name="Button" value="提交"></td> </tr> </table> </body> </html>