seller.html 2.9 KB

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  1. {js:artTemplate}
  2. {js:areaSelect}
  3. <div class="wrapper clearfix">
  4. <div class="wrap_box">
  5. <div id="fp_form">
  6. <h3 class="notice">申请加盟商户</h3>
  7. <p class="tips">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>
  8. <div class="box">
  9. <form action="{url:/simple/seller_reg}" method="post" enctype='multipart/form-data' name="sellerForm">
  10. <table class="form_table">
  11. <colgroup>
  12. <col width="300px" />
  13. <col />
  14. </colgroup>
  15. <tbody>
  16. <tr>
  17. <th>登陆用户名:</th>
  18. <td><input class="normal" name="seller_name" type="text" value="" pattern="required" alt="用户名不能为空" /><label>* 用户名称(必填)</label></td>
  19. </tr>
  20. <tr>
  21. <th>密码:</th><td><input class="normal" name="password" type="password" bind='repassword' pattern="required" /><label>* 登录密码</label></td>
  22. </tr>
  23. <tr>
  24. <th>确认密码:</th><td><input class="normal" name="repassword" type="password" bind='password' pattern="required" /><label>* 重复确认密码</label></td>
  25. </tr>
  26. <tr>
  27. <th>商户真实全称:</th>
  28. <td><input class="normal" name="true_name" type="text" value="" pattern="required" /></td>
  29. </tr>
  30. <tr>
  31. <th>商户资质材料:</th>
  32. <td>
  33. <input type='file' name='paper_img' />
  34. </td>
  35. </tr>
  36. <tr>
  37. <th>固定电话:</th>
  38. <td><input type="text" class="normal" name="phone" pattern="phone" /><label>* 固定电话联系方式,如:010-88888888</label></td>
  39. </tr>
  40. <tr>
  41. <th>手机号码:</th>
  42. <td><input type="text" class="normal" name="mobile" pattern="mobi" /><label>* 移动电话联系方式:如:13000000000</label></td>
  43. </tr>
  44. <tr>
  45. <th>邮箱:</th>
  46. <td><input type="text" class="normal" name="email" pattern="email" /><label>* 电子邮箱联系方式:如:aircheng@163.com</label></td>
  47. </tr>
  48. <tr>
  49. <th>地区:</th>
  50. <td>
  51. <select name="province" child="city,area"></select>
  52. <select name="city" child="area"></select>
  53. <select name="area"></select>
  54. </td>
  55. </tr>
  56. <tr>
  57. <th>详细地址:</th><td><input class="normal" name="address" type="text" empty value="" /></td>
  58. </tr>
  59. <tr>
  60. <th>企业官网:</th>
  61. <td><input class="normal" name="home_url" type="text" pattern="url" empty value="" /><label>填写完整的网址,如:http://www.k1net.cn</label></td>
  62. </tr>
  63. <tr>
  64. <td></td>
  65. <td>
  66. <input class="submit" type="submit" value="申请加盟" />
  67. </td>
  68. </tr>
  69. </tbody>
  70. </table>
  71. </form>
  72. </div>
  73. </div>
  74. </div>
  75. </div>
  76. <script type="text/javascript">
  77. var areaInstance = new areaSelect('province');
  78. areaInstance.init();
  79. </script>