color="#336600">真实姓名：</font></td>
                                    <td width="277" class="txt9" valign="top">
                                      <input type="text" name="true_name" size="10" class="txt9">
                                    </td>
                                  </tr>
                                  <tr>
                                    <td width="111" class="txt9" align="right" valign="bottom"><font color="#336600">性别：</font></td>
                                    <td width="277" class="txt9" valign="top">
                                      <select name="sex" class="txt9">
                                        <option value="男" selected>男</option>
                                        <option value="女">女</option>
                                      </select>
                                    </td>
                                  </tr>
                                  <tr>
                                    <td width="111" class="txt9" align="right" valign="bottom"><font color="#336600">生日：</font></td>
                                    <td width="277" class="txt9" valign="top">
                                      <input type="text" name="year" size="4" class="txt9">
                                      年
                                      <input type="text" name="month" size="2" class="txt9">
                                      月
                                      <input type="text" name="date" size="2" class="txt9">
                                      日 </td>
                                  </tr>
                                  <tr>
                                    <td width="111" class="txt9" align="right"><font color="#336600">身份证编号：</font></td>
                                    <td width="277" class="txt9" valign="top">
                                      <input type="text" name="idcard" class="txt9">
                                      <br>
                                      作为取货凭证，请务必正确填写。 </td>
                                  </tr>
                                  <tr>
                                    <td width="111" class="txt9" align="right" valign="bottom"><font color="#336600">联系地址：</font></td>
                                    <td width="277" class="txt9" valign="top">
                                      <input type="text" name="address" class="txt9">
                                    </td>
                         &

上一页  [1] [2] [3] [4] [5] [6] 下一页

	输入您的搜索字词 提交搜索表单
	军旅同心论坛 军旅同心博客 军旅同心网