document.write("<script type='text/javascript' src='/fy_inc/js/time/WdatePicker.js'></script>");
document.write("<script type='text/javascript' src='/editor/kindeditor/kindeditor.js'></script>");
document.write("<script type='text/javascript' src='/fy_inc/js/swfobject.js'></script>");
document.write("<table width='100%' border='0' align='center' cellpadding='2' cellspacing='1'>");
document.write("<form name='myform' action='/plus/Form/fy.F.ASP?A=Save&ModeID=2' method='post'> ");
document.write("<tr><td align='left'>姓名：</td><td align='left'><input type='text' title='' name='y_name' size='40' value=''>  <font color=red title='必填'>*</font>  </td></tr>");
document.write("<tr><td align='left'>手机：</td><td align='left'><input type='text' title='' name='y_mobile' size='40' value=''>  <font color=red title='必填'>*</font>  </td></tr>");
document.write("<tr><td align='left'>需求：</td><td align='left'><label for='y_xuqiu0'> <input  id='y_xuqiu0' type='checkbox'  name='y_xuqiu' value='网站' checked />网站&nbsp;&nbsp;</label><label for='y_xuqiu1'> <input  id='y_xuqiu1' type='checkbox'  name='y_xuqiu' value='商城'  />商城&nbsp;&nbsp;</label><label for='y_xuqiu2'> <input  id='y_xuqiu2' type='checkbox'  name='y_xuqiu' value='小程序'  />小程序&nbsp;&nbsp;</label><label for='y_xuqiu3'> <input  id='y_xuqiu3' type='checkbox'  name='y_xuqiu' value='APP'  />APP&nbsp;&nbsp;</label><label for='y_xuqiu4'> <input  id='y_xuqiu4' type='checkbox'  name='y_xuqiu' value='企业邮箱'  />企业邮箱&nbsp;&nbsp;</label><label for='y_xuqiu5'> <input  id='y_xuqiu5' type='checkbox'  name='y_xuqiu' value='系统定制'  />系统定制&nbsp;&nbsp;</label><label for='y_xuqiu6'> <input  id='y_xuqiu6' type='checkbox'  name='y_xuqiu' value='其它'  />其它&nbsp;&nbsp;</label>  <font color=red title='必填'>*</font>  </td></tr>");

document.write("<tr> <td  colspan='2' align='center'>");
document.write("<input type=submit   name=Submit1 value='  提 交  ' />&nbsp;");
document.write("<input type='reset' name='Submit2'  value='  重 置  ' /></td></tr></form></table>");
document.write("<div class='biaodan_djs'>对不起,该活动已经结束!</div>");