document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<form name=\"myform\" action=\"/plus/form.asp\" method=\"post\"> ')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\">')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"id\">')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">您的姓名：</td>')
document.writeln('  <td><input  name=\"KS_xm\" type=\"text\" class=\"upfile\" value=\"\" size=\"20\">')
document.writeln('  <font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">性别：</td>')
document.writeln('  <td><input type=\"radio\" name=\"KS_xb\" value=\"男\" checked>男<input type=\"radio\" name=\"KS_xb\" value=\"女\">女  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">联系电话：</td>')
document.writeln('  <td><input name=\"KS_dh\" type=\"text\" class=\"upfile\" value=\"\" size=\"20\">')
document.writeln('  <font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"30\" align=\"right\" class=\"lefttdbg\">留言主题：</td>')
document.writeln('  <td><input  name=\"KS_zt\" type=\"text\" class=\"upfile\" value=\"\" size=\"20\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td height=\"110\" align=\"right\" class=\"lefttdbg\">留言内容：</td>')
document.writeln('  <td><textarea name=\"KS_nr\" cols=\"50\" rows=\"8\" ></textarea>')
document.writeln('  <font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td height=\"30\" align=\"right\" class=\"lefttdbg\">验证码：</td>')
document.writeln('<td><input name=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><IMG 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('</form>')
document.writeln('</table>')