document.writeln('<iframe src=\"about:blank\" name=\"hidform3\" style=\"width:0px;height:0px;display:none\"></iframe>')
document.writeln('<script src=\"/ks_inc/common.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<form name=\"myform3\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c(3));\"  target=\"hidform3\" method=\"post\"> ')
document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"3\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"8\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">姓名：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_xmin\" name=\"KS_xmin\" value=\"\"><span class=\"formstrck3\" id=\"姓名|%|KS_xmin|%|1\" style=\"display:none\"></span><font ')
document.writeln('color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">性别：</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_xbb\" name=\"KS_xbb\" value=\"男\">男<input type=\"radio\" id=\"KS_xbb\" name=\"KS_xbb\" value=\"女\">女<span class=\"formstrck3\" id=\"性别|%|KS_xbb|%|6\" style=\"display:none\">')
document.writeln('</span>')
document.writeln('<font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">联系电话：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_lxxi\" name=\"KS_lxxi\" value=\"\"><span class=\"formstrck3\" id=\"联系电话|%|KS_lxxi|%|1\" style=\"display:none\"></span><font ')
document.writeln('color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">选择酒店：</td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_xzjddd\" style=\"width:200px\" name=\"KS_xzjddd\"><option value=\"晋祠宾馆\">晋祠宾馆</option><option value=\"太原铁路新创餐饮旅游集团有限公司\">太原铁路新创餐饮旅游集')
document.writeln('团有限公司</option></select><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">选择房型：</td>')
document.writeln('  <td><input type=\"radio\" id=\"KS_xzfx\" name=\"KS_xzfx\" value=\"标间\">标间<input type=\"radio\" id=\"KS_xzfx\" name=\"KS_xzfx\" value=\"标间床位\">标间床位<span class=\"formstrck3\" id=\"选择房型|%|KS_xzfx|%|6\" ')
document.writeln('style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">入住日期：</td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_rzriqi\" style=\"width:200px\" name=\"KS_rzriqi\"><option value=\"2019/10/21\">2019/10/21</option><option value=\"2019/10/22\">2019/10/22</option><option ')
document.writeln('value=\"2019/10/23\">2019/10/23</option><option value=\"2019/10/24\">2019/10/24</option><option value=\"2019/10/25\">2019/10/25</option><option value=\"2019/10/26\">2019/10/26</option><option ')
document.writeln('value=\"2019/10/27\">2019/10/27</option></select><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">退房日期：</td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_tfriqi\" style=\"width:200px\" name=\"KS_tfriqi\"><option value=\"2019/10/21\">2019/10/21</option><option value=\"2019/10/22\">2019/10/22</option><option ')
document.writeln('value=\"2019/10/23\">2019/10/23</option><option value=\"2019/10/24\">2019/10/24</option><option value=\"2019/10/25\">2019/10/25</option><option value=\"2019/10/26\">2019/10/26</option><option ')
document.writeln('value=\"2019/10/27\">2019/10/27</option></select><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td class=\"lefttdbg\" align=\"right\">验证码：</td><td><input name=\"Verifycode\" id=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><span style=\"color:#999\">请输入下图中的字符</span><br/><IMG ')
document.writeln('style=\"cursor:pointer\" src=\"/plus/verifycode.asp\" onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\" align=\"absmiddle\"></td></tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td></tr>')
document.writeln('</table>')
document.writeln('</form>')
document.writeln('')