打印本文 打印本文  关闭窗口 关闭窗口
用户注册及跟踪代码(三)
作者:采集员 文章来源:来源于网络 点击数: 更新时间:2005/9/10 14:19:53
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



打印本文 打印本文  关闭窗口 关闭窗口