📄 responsibility.jsp
字号:
<%@page contentType="text/html;charset=gb2312 " pageEncoding="gb2312" %>
<html>
<head>
<title>欢迎投保责任险，我们将为你提供满意的服务！</title>
</head>
<body bgcolor="#5555AA" background="pictures/background.jpg">
<jsp:include page="top.jsp"/>
<tr>
<td width="73%" valign="top"><table width="100%" height="35" border="0" cellpadding="0" cellspacing="0">
<tr align="center">
<td valign="bottom"><a href="car.jsp">投保车险</a></td>
<td width="1" rowspan="2" valign="top"><img src="pictures/Nav_separate.gif" width="3" height="36"></td>
<td valign="bottom"><a href="boat.jsp">投保船舶险</a></td>
<td width="1" rowspan="2" valign="top"><img src="pictures/Nav_separate.gif" width="3" height="36"></td>
<td valign="bottom"><a href="wealth.jsp">投保财产险</a></td>
<td width="1" rowspan="2" valign="top"><img src="pictures/Nav_separate.gif" width="3" height="36"></td>
<td valign="bottom"><a href="responsibility.jsp">投保责任险</a></td>
<td width="1" rowspan="2" valign="top"><img src="pictures/Nav_separate.gif" width="3" height="36"></td>
<td valign="bottom"><a href="other.jsp">投保其他险种</a></td>
<td width="1" rowspan="2"> </td>
</tr>
<tr align="center">
<td><a href="car.jsp">Car Insurance</a></td>
<td><a href="boat.jsp">Boat Insurance</a></td>
<td><a href="wealth.jsp">Wealth Insurance</a></td>
<td><a href="responsibility.jsp">Responsibility Insurance</a></td>
<td><a href="other.jsp">Other Insurance</a></td>
</tr>
</table></td>
<p><font color="#FF8741" size="5">欢迎投保车险，我们将为你提供满意的服务！</p>
<p><font color="#FF9934" size="4">(请您先阅读相关条款，再如实填写下列信息)</p>
<form method=get action="responsibility_deal.jsp" onSubmit="return validate(this)">
标的号<input type=text name=target_id><font color="#FF0000">*</font>(带*为必填项)
<br><br>
客户号<input type=text name=customer_id>
<br><br>
联系人号:4<a href="respon_person_info.jsp"><font color="#FF8741" size="5"> 点击查看联系人信息</font></a>
<br><br>
累计赔偿限额<input type=text name=total_rep>
<br><br>
每次事故赔偿限额<input type=text name=percase_rep>
<br><br>
每人伤亡赔偿限额1<input type=text name="perdeath1">
<br><br>
伤亡赔偿限额1的人数<input type=text name="person1">
<br><br>
每人伤亡赔偿限额2<input type=text name=perdeath2>
<br><br>
伤亡赔偿限额2的人数<input type=text name=person2>
<br><br>
每人医疗费赔偿限额1 <input type=text name=perservicefee1>
<br><br>
医疗赔偿限额1的人数<input type=text name=personfee1>
<br><br>
每人医疗费赔偿限额2<input type=text name="perservicefee2">
<br><br>
医疗赔偿限额2的人数<input type=text name=personfee2>
<br><br>
每人医疗费每次事故免赔额<input type=text name="perservicelose">
<br><br>
每人医疗费每次事故免赔率<input type=text name=lose_of_rate>
<br><br>
<input type="submit" name="submit" value="提交">
<input type="reset" name="reset" value="重置">
</form>
<script>
function validate(form){
if(form.target_id.value==""){
alert("标的号不能为空，请输入");
return false;
}
}
</script>
<jsp:include page="copyright.jsp"/>
</body>
</html>
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