document.writeln("<style type=\"text/css\">");
	document.writeln("<!--");
	document.writeln(".normalText { font-size: 9pt; color: #000000 }\r\n.normalText A { text-decoration: none; color: #000000 }\r\n.welcomeText { font-size: 9pt; font-weight: bold; text-align: center; }\r\n.buttonZone { font-size: 9pt; color: #000000 }\r\n.buttonZone input { font-size: 9pt; color: #000000 }");
	document.writeln("-->");
	document.writeln("</style>");



document.writeln("<TABLE border=\"0\" cellspacing=\"0\" cellpadding=\"5\" align=\"center\" width=\"92%\" height=\"30\" class=\"welcomeText\"><TR><TD>欢迎您前来预约！</TD></TR></TABLE>");




function check_feedback_form(theform)
{

	b_found = false;
	
	for (var i = 0 ; i < theform.elements.length ; i++)
	{
		var e = theform.elements[i];
		if (e.name == "domain_96322" && e.checked) { b_found = true; break; }
	}

	if (!b_found)
	{
		alert("您没有填写 意向国家*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96319.value.match(/^\s*$/))
	{
		alert("您没有填写 姓名*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96324.value.match(/^\s*$/))
	{
		alert("您没有填写 联系电话*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96327.value.match(/^\s*$/))
	{
		alert("您没有填写 来访时间*,请填写完整的信息!");
		return false;
	}

	var _feedback_form_submit = window.open("http://61.135.129.87/front/feedback_form/feedback_form_submit_wait.htm","_feedback_form_submit","toolbar=0,location=0,status=0,menubar=0,resizable=0,scrollbars=0,top=100,left=120,width=460,height=260");

	return true;
}

document.writeln("<TABLE border=\"0\" cellspacing=\"1\" cellpadding=\"5\" align=\"center\" width=\"92%\" bgcolor=\"#CCCCCC\" class=\"normalText\">");

document.writeln("  <form name=\"formX\" method=\"post\" action=\"http://61.135.129.87/front/feedback_form/feedback_form_submit.jsp\" target=\"_feedback_form_submit\" onsubmit=\"return check_feedback_form(this);\">");
document.writeln("  <input type=\"hidden\" name=\"service_user_id\" value=\"37448\">");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">意向国家*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <table border=\"0\" cellspacing=\"0\" cellpadding=\"1\" class=\"normalText\">");

document.writeln("      <tr>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"美国\r\">美国\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"英国\r\">英国\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"爱尔兰\r\">爱尔兰\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"加拿大\r\">加拿大\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"澳大利亚\r\">澳大利亚\r&nbsp;</td>");

document.writeln("      </tr>");

document.writeln("      <tr>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"法国\r\">法国\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"俄罗斯\r\">俄罗斯\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"日本\r\">日本\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"韩国\r\">韩国\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"马来西亚\r\">马来西亚\r&nbsp;</td>");

document.writeln("      </tr>");

document.writeln("      <tr>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"新加坡\r\">新加坡\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"西班牙\r\">西班牙\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"荷兰\r\">荷兰\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"北欧\r\">北欧\r&nbsp;</td>");

document.writeln("        <td width=\"20%\"><input type=\"checkbox\" name=\"domain_96322\" value=\"其他国家\">其他国家&nbsp;</td>");

document.writeln("      </tr>");

document.writeln("    </table>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">预约顾问</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <select name=\"domain_96323\" size=\"1\">");
document.writeln("    <option value=\"\" selected>请选择</option>");

document.writeln("    <option value=\"高老师\r\">高老师\r</option>");

document.writeln("    <option value=\"王老师\r\">王老师\r</option>");

document.writeln("    <option value=\"刘老师\r\">刘老师\r</option>");

document.writeln("    <option value=\"单老师\r\">单老师\r</option>");

document.writeln("    <option value=\"李老师\r\">李老师\r</option>");

document.writeln("    <option value=\"熊老师\r\">熊老师\r</option>");

document.writeln("    <option value=\"韩老师\r\">韩老师\r</option>");

document.writeln("    <option value=\"吕老师\r\">吕老师\r</option>");

document.writeln("    <option value=\"唐老师\r\">唐老师\r</option>");

document.writeln("    <option value=\"其他顾问\">其他顾问</option>");

document.writeln("    </select>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">姓名*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96319\" size=\"10\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">联系电话*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <div bgcolor=\"#FFFFFF\" style=\"padding-left: 0px; padding-right: 0px; padding-top: 4px; padding-bottom: 4px;\">手机或固话，固话请加区号</div>");

document.writeln("    <input type=\"text\" name=\"domain_96324\" size=\"18\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">E-Mail</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96320\" size=\"32\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">QQ号码</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96325\" size=\"12\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">来访时间*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <div bgcolor=\"#FFFFFF\" style=\"padding-left: 0px; padding-right: 0px; padding-top: 4px; padding-bottom: 4px;\">请您填写具体日期，以便我们安排顾问和您面谈！</div>");

document.writeln("    <input type=\"text\" name=\"domain_96327\" size=\"24\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">其他要求或说明</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <textarea name=\"domain_96321\" cols=\"31\" rows=\"5\"></textarea>");

document.writeln("    </TD>");

document.writeln("  </TR>");


document.writeln("</TABLE>");

document.writeln("<TABLE align=\"center\" height=\"36\" class=\"buttonZone\">");
document.writeln("  <tr><td>");
document.writeln("    <input type=\"submit\" name=\"btok\" value=\" 提交 \">");
document.writeln("    <input type=\"reset\" name=\"btrst\" value=\" 重填 \">");
document.writeln("  </td></tr>");
document.writeln("  </form>");
document.writeln("</table>");