{js:areaSelect}


<section class="web">
	<header class="login_header">
		<h3>申请加盟商户</h3>
		<p>加入我们的电商平台，成为我们的供应商，一起共创美好未来</p>
	</header>
	<section class="reg_box">
		<form action="{url:/simple/seller_reg}" method="post" enctype='multipart/form-data' name="sellerForm">
			<dl>
				<dt>登陆用户名：</dt>
				<dd>
					<input class="input_text" name="seller_name" type="text" value="" pattern="required" alt="用户名不能为空">
					<span>* 用户名称（必填）</span>
				</dd>
			</dl>
			<dl>
				<dt>密码：</dt>
				<dd>
					<input class="input_text" name="password" type="password" bind='repassword' pattern="required">
					<span>* 登录密码</span>
				</dd>
			</dl>
			<dl>
				<dt>确认密码：</dt>
				<dd>
					<input class="input_text" name="repassword" type="password" bind='password' pattern="required">
					<span>* 重复确认密码</span>
				</dd>
			</dl>
			<dl>
				<dt>商户真实全称：</dt>
				<dd>
					<input class="input_text" name="true_name" type="text" value="" pattern="required">
				</dd>
			</dl>
			<dl>
				<dt>商户资质材料：</dt>
				<dd>
					<input type='file' name='paper_img'>
				</dd>
			</dl>
			<dl>
				<dt>固定电话：</dt>
				<dd>
					<input type="text" class="input_text" name="phone" pattern="phone">
					<span>* 固定电话联系方式，如：010-88888888</span>
				</dd>
			</dl>
			<dl>
				<dt>手机号码：</dt>
				<dd>
					<input type="text" class="input_text" name="mobile" pattern="mobi">
					<span>* 移动电话联系方式：如：13000000000</span>
				</dd>
			</dl>
			<dl>
				<dt>邮箱：</dt>
				<dd>
					<input type="text" class="input_text" name="email" pattern="email">
					<span>* 电子邮箱联系方式：如：aircheng@163.com</span>
				</dd>
			</dl>
			<dl>
				<dt>地区：</dt>
				<dd>
					<select class="input_select" name="province" child="city,area"></select>
					<select class="input_select" name="city" child="area"></select>
					<select class="input_select" name="area"></select>
				</dd>
			</dl>
			<dl>
				<dt>详细地址：</dt>
				<dd>
					<input class="input_text" name="address" type="text" empty value="">
				</dd>
			</dl>
			<dl>
				<dt>企业官网：</dt>
				<dd>
					<input class="input_text" name="home_url" type="text" pattern="url" empty value="">
					<span>填写完整的网址，如：http://www.aircheng.com</span>
				</dd>
			</dl>
			<dl>
				<dt></dt>
				<dd>
					<input class="input_submit" type="submit" value="申请加盟">
				</dd>
			</dl>
		</form>
	</section>
</section>



<script>
var areaInstance = new areaSelect('province');
areaInstance.init();
</script>
