document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"http://www.letopo.com/statics/js/dialog.js\"></script><script type=\"text/javascript\" src=\"http://www.letopo.com/statics/js/dialog.js\"></script><div class=\"ale_form_bd\"><form method=\"post\" action=\"http://www.letopo.com/index.php?m=formguide&c=index&a=show&formid=16&siteid=1\" name=\"myform\" id=\"myform\">                                    <div class=\"ale_f\">                    <div class=\"ale_f1\"><span class=\"ale_form_span1\">您的姓名:</span><span class=\"ale_form_span\"></span></div>                        <div class=\"ale_f2\"><input type=\"text\" value=\"\"  size=\"15%\" name=\"info[name]\" id=\"name\" style=\"background:url(images/text1.png) left bottom no-repeat; border:none; width:109px; height:29px; padding-left:3px;\"/></div>                        </div>                                                <div class=\"ale_f chenghu\">                    <div class=\"ale_f1\"><span class=\"ale_form_span1\">称呼:</span><span class=\"ale_form_span\"></span></div>                        <div class=\"ale_f2\">                        <div class=\"ale_f21\"><input type=\"radio\" name=\"info[ch]\" id=\"ch_1\" value=\"1\" checked=\"checked\"/>先生</div>                            <div class=\"ale_f21\"><input type=\"radio\" name=\"info[ch]\" id=\"ch_2\" value=\"2\" />女士</div>                        </div>                        </div>                        <div class=\"ale_f sex\">                    <div class=\"ale_f1\"><span class=\"ale_form_span1\">您孩子的性别:</span><span class=\"ale_form_span\"></span></div>                        <div class=\"ale_f2\">                        <div class=\"ale_f21\"><input type=\"radio\" name=\"info[sex]\" id=\"sex_1\" value=\"1\" checked=\"checked\"/>男孩</div>                            <div class=\"ale_f21\"><input type=\"radio\" name=\"info[sex]\" id=\"sex_2\" value=\"2\" />女孩</div>                        </div>                        </div>                        <div class=\"ale_f age\">                    <div class=\"ale_f1\"><span class=\"ale_form_span1\">您孩子的年龄:</span><span class=\"ale_form_span\"></span></div>                        <div class=\"ale_f2\"><input type=\"text\"  size=\"17%\" name=\"info[age]\" id=\"age\" style=\"background:url(images/text2.png) left bottom no-repeat; border:none; width:145px; height:29px;padding-left:5px;\"/></div>                        </div>                        <div class=\"ale_f class\">                    <div class=\"ale_f1\"><span class=\"ale_form_span1\">想加入的课程:</span><span class=\"ale_form_span\"></span></div>                        <div class=\"ale_f2\">                        <div class=\"ale_f21 ale_jd\"><input type=\"radio\" name=\"info[class]\" value=\"幼儿园阶段\" checked=\"checked\"/>幼儿园阶段</div>                            <div class=\"ale_f21 ale_jd\"><input type=\"radio\" name=\"info[class]\" value=\"小学阶段\"/>小学阶段</div>                            <div class=\"ale_f21 ale_jd\"><input type=\"radio\" name=\"info[class]\" value=\"初中高中阶段\"/>初中高中阶段</div>                        </div>                        </div>                        <div class=\"ale_f add\">                    <div class=\"ale_f1\"><span class=\"ale_form_span1\">所在城市:</span><span class=\"ale_form_span\"></span></div>                        <div class=\"ale_f2\"><input type=\"text\" name=\"info[add]\" id=\"add\" size=\"17%\" style=\"background:url(images/text3.png) left bottom no-repeat; border:none; width:108px; height:29px;padding-left:5px;\"/></div>                        </div>                        <div class=\"clear\"></div>                        <div class=\"ale_f_left\">                        <div class=\"ale_f tel\">                            <div class=\"ale_f1\"><span class=\"ale_form_span1\">联系电话:</span><span class=\"ale_form_span\"></span></div>                                <div class=\"ale_f2\"><input type=\"text\" name=\"info[tel]\" id=\"tel\" style=\"background:url(images/text4.png) left bottom no-repeat; border:none; width:168px; height:29px;padding-left:5px;\"/></div>                            </div>                            <div class=\"ale_f email\">                            <div class=\"ale_f1\"><span class=\"ale_form_span1\">QQ或邮箱:</span><span class=\"ale_form_span\"></span></div>                                <div class=\"ale_f2\"><input type=\"text\" name=\"info[email]\" id=\"email\" style=\"background:url(images/text5.png) left bottom no-repeat; border:none; width:171px; height:29px;padding-left:5px;\"/></div>                            </div>                            <div class=\"ale_f about\">                            <div class=\"ale_f1\"><span class=\"ale_form_span1\">通过何种途径了解到乐同品牌:</span><span class=\"ale_form_span\"></span></div>                                <div class=\"ale_f2\"><input type=\"text\" name=\"info[about]\" id=\"about\" style=\"background:url(images/text6.png) left bottom no-repeat; border:none; width:228px; height:29px;padding-left:5px;\"/></div>                            </div>                            <div class=\"ale_f advice\">                            <div class=\"ale_f1\"><span class=\"ale_form_span1\">您的意见或问题:</span><span class=\"ale_form_span\"></span></div>                                <div class=\"ale_f2 area\"><textarea name=\"info[area]\" id=\"area\" style=\"width:572px; height:47px;background:url(images/text7.png) left bottom no-repeat;resize:none; border:none;padding-left:5px; padding-top:5px; padding-bottom:5px; padding-right:5px;\"></textarea></div>                            </div>                        </div>                        <div class=\"ale_f_right\">                        <div class=\"ale_f_btn\"><input type=\"submit\"  name=\"dosubmit\" id=\"dosubmit\" style=\"border:none;width:139px; height:47px; background:url(images/elkcnrbtn.png) left bottom no-repeat;\" value=\"\"/></div>                        </div>                    </form>                </div>");