📄 jpud.asp
字号:
<TR align=middle style="COLOR: #000000; CURSOR: hand" vAlign=center>
<TD width="24%" height=25 align="left" vAlign=center bgColor=#ffffff> 邮寄代号：</TD>
<TD width="77%" height=25 align="left" vAlign=center bgColor=#ffffff><FONT
color=#6699ff face=华文行楷>
<INPUT name=tro_Code class=book
id=tro_Code value="<%=request.Form("postcode")%>" size=15 maxLength=20>
</FONT></TD>
</TR>
<TR align=middle style="COLOR: #000000; CURSOR: hand" vAlign=center>
<TD width="24%" height=25 align="left" vAlign=center bgColor=#ffffff> 需要积分：</TD>
<TD width="77%" height=25 align="left" vAlign=center bgColor=#ffffff><FONT
color=#6699ff face=华文行楷>
<INPUT name=cataid class=book
id=cataid value="<%=request.Form("cataid")%>" size=15 maxLength=20 readonly="1" >
</FONT></TD>
</TR>
<TR align=middle vAlign=center bgcolor="#ffffff">
<TD width="24%" height=25 align="left" bgcolor="#ffffff"> 补充说明：</TD>
<TD width="77%" height=60 align="left"><FONT
color=#6699ff face=华文行楷>
<TEXTAREA class=book cols=60 id=textarea3 name=tro_txt rows=3><%=request.Form("Introducev")%></TEXTAREA>
</FONT></TD>
</TR>
</TBODY>
</TABLE>
<!-- <table width="565" BORDER="0" CELLPADDING="0" CELLSPACING="1" bgcolor="#999999" class="b-14">
<tr bgcolor="#FFFFFF">
<td height="20" colspan=2> <P class="back-12"><font color=red> 兑换免房类奖品必须提供以下信息！</font></P></td>
</tr>
<tr>
<td width="24%" height="20" bgcolor=#FFFFFF> <span class="back-12">入住日期：</span></td>
<td width="434" height="20" bgcolor="#FFFFFF"><FONT
color=#6699ff face=华文行楷>
<INPUT class=book
id=tro_date maxLength=20 name=tro_date size=15>
</FONT> </td>
</tr>
<tr>
<td width="24%" bgcolor=#FFFFFF>
<p><span class="back-12"> 入住人姓名,</span></p>
<p><span class="back-12"> 证件及号码：</span></p></td>
<td width="434" bgcolor="#FFFFFF"> <FONT
color=#6699ff face=华文行楷>
<TEXTAREA class=book cols=60 id=textarea name=tro_conent rows=3></TEXTAREA>
</FONT><br>
(如:甲,身份证,9981774955250;乙,护照,J10985368)</td>
</tr>
</table> -->
<TABLE align=center bgColor=#999999 border=0
borderColor=#66cccc cellPadding=0 cellSpacing=1 class=back-12
width=100%>
<TBODY>
<TR bgColor=#ffffff>
<TD colSpan=4
height=30> 为了便于将奖品及其它类服务及时送往贵方，敬请您提供如下的详细信息：“<FONT
color=#ff0000>*</FONT>”为必填项</TD>
</TR>
<TR bgColor=#ffffff>
<TD colSpan=4 height=30><FONT
color=#6699ff face=华文行楷>
<INPUT name=OrderCode
type=hidden value=K52005115232658>
<INPUT name=tro_TraID
type=hidden value=K55>
<INPUT id=tro_codeid name=tro_codeid
type=hidden value=<%=tro_codeid%>>
<INPUT id=postcode name=postcode
type=hidden value=<%=request.Form("postcode")%>>
</FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD height=0 width="25%"> 您的姓名：<FONT
color=#ff0000>*</FONT> <BR></TD>
<TD bgColor=#ffffff height=0 width="25%"><FONT
color=#6699ff face=华文行楷>
<INPUT name=tro_Name class=book
id=email6 value="<%=Mem_Name%>" size=15 maxLength=20>
</FONT></TD>
<TD bgColor=#ffffff height=30 width="25%"> 订数量：</TD>
<TD bgColor=#ffffff width="37%"><FONT color=#6699ff
face=华文行楷>
<INPUT name=tro_TicketNum class=book id=email7 value="1" size=15
maxLength=20>
</FONT><FONT
face=宋体>（张）</FONT><FONT color=#ff0000>*</FONT><FONT
color=#6699ff face=华文行楷> </FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD bgColor=#ffffff height=0 width="25%"><FONT
face=宋体> 您的联系电话：<FONT color=#ff0000>*</FONT> </FONT></TD>
<TD height=0 width="25%"><FONT
color=#6699ff face=华文行楷>
<INPUT name=tro_Tel1 class=book
id=tro_Name4 value="<%=Mem_Tel%>" size=18 maxLength=20>
</FONT></TD>
<TD width="25%" height=30 bgColor=#ffffff><FONT
face=宋体> 您的手机号：<FONT color=#ff0000>*</FONT> </FONT></TD>
<TD width="37%" height=30 bgColor=#ffffff><FONT color=#6699ff
face=华文行楷>
<INPUT name=tro_Tel2 class=book
id=tro_Name52 value="<%=mem_mobile%>" size=18 maxLength=20>
</FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD width="25%" height=30> 您的E-mail：</TD>
<TD height=30 colSpan=3><FONT
color=#6699ff face=华文行楷>
<INPUT name=tro_Email class=book
id=tro_Name5 value="<%=Mem_Email%>" size=45>
</FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD width="25%" height=30><FONT face=宋体> 您的地址：</FONT><FONT
color=#ff0000>*</FONT></TD>
<TD height=30 colSpan=3><FONT color=#6699ff
face=华文行楷>
<INPUT name=tro_Address class=book id=email22 value="<%=Mem_Addr%>" size=45
maxLength=20>
</FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD width="25%" height=30><FONT face=宋体> 邮政编码：</FONT><FONT
color=#ff0000>*</FONT></TD>
<TD height=30 colSpan=3><FONT
color=#6699ff face=华文行楷>
<INPUT name=tro_PC class=book
id=tro_Name value="<%=Mem_zip%>" size=15 maxLength=20>
</FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD width="25%" height=30 bgColor=#ffffff><FONT
face=宋体> 补充说明：</FONT><FONT color=#6699ff
face=宋体> </FONT></TD>
<TD bgColor=#ffffff colSpan=3 height=60><FONT
color=#6699ff face=华文行楷>
<TEXTAREA class=book cols=60 id=textarea2 name=tro_Remark rows=3></TEXTAREA>
</FONT></TD>
</TR>
<TR bgColor=#ffffff>
<TD colSpan=4 height=30><DIV align=center> <a href="javascript:history.back()"><img src="RLimages/03.gif" width="92" height="32" border="0" ></a>
<input name="Submit" type="image" id="Submit" src="RLimages/02.gif" width="92" height="32" border="0">
</DIV></TD>
</TR>
</TBODY>
</TABLE>
<INPUT name="MM_insert" type="hidden" value="form1">
<input type="hidden" name="username" value="<%=username_bak%>">
</FORM>
</DIV></TD>
<TD width=1> </TD>
</TR>
</TBODY>
</TABLE>
</body>
</html>
<%
rs.close
set rs=nothing
call conn_close()
%>
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