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							- <!--pages/ucenter/applyRefund/applyRefund.wxml-->
 
- <form bindsubmit="saveApplyRefund" report-submit='true'>
 
-   <view class="apply-refund">
 
-     <view class="add-form">
 
-       <view class="form-item-url" wx:for="{{orderGoods}}" wx:key="{{index}}" >
 
-           <image class="order-image" src="{{item.list_pic_url}}"></image>
 
-           <view class="name"><text style='font-size:26rpx;'>{{item.goods_name}}</text></view>
 
-           <view class="name2"><text style='font-size:26rpx;color: rgb(151, 150, 150);'>{{item.goods_specification_name_value}}</text></view>
 
-       </view>
 
-       <view class="form-item">
 
-         <label>退款原因:</label>
 
-         <input class="input" name='refundReason' placeholder="必填" auto-focus/>
 
-       </view>
 
-       <view class="form-item">
 
-         <label>退款金额:</label>
 
-         <text>¥{{refundMoney}}</text>
 
-       </view>
 
-     </view>
 
-     <view class="btns">
 
-       <button class="save" form-type="submit">提交申请</button>
 
-     </view>
 
-   </view>
 
- </form>
 
 
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