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- {js:artTemplate}
- {js:areaSelect}
- <div class="wrapper clearfix">
- <div class="wrap_box">
- <div id="fp_form">
- <h3 class="notice">申请加盟商户</h3>
- <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>
- <div class="box">
- <form action="{url:/simple/seller_reg}" method="post" enctype='multipart/form-data' name="sellerForm">
- <table class="form_table">
- <colgroup>
- <col width="300px" />
- <col />
- </colgroup>
- <tbody>
- <tr>
- <th>登陆用户名:</th>
- <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>
- </tr>
- <tr>
- <th>密码:</th><td><input class="normal" name="password" type="password" bind='repassword' pattern="required" /><label>* 登录密码</label></td>
- </tr>
- <tr>
- <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>
- </tr>
- <tr>
- <th>商户真实全称:</th>
- <td><input class="normal" name="true_name" type="text" value="" pattern="required" /></td>
- </tr>
- <tr>
- <th>商户资质材料:</th>
- <td>
- <input type='file' name='paper_img' />
- </td>
- </tr>
- <tr>
- <th>固定电话:</th>
- <td><input type="text" class="normal" name="phone" pattern="phone" /><label>* 固定电话联系方式,如:010-88888888</label></td>
- </tr>
- <tr>
- <th>手机号码:</th>
- <td><input type="text" class="normal" name="mobile" pattern="mobi" /><label>* 移动电话联系方式:如:13000000000</label></td>
- </tr>
- <tr>
- <th>邮箱:</th>
- <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>
- </tr>
- <tr>
- <th>地区:</th>
- <td>
- <select name="province" child="city,area"></select>
- <select name="city" child="area"></select>
- <select name="area"></select>
- </td>
- </tr>
- <tr>
- <th>详细地址:</th><td><input class="normal" name="address" type="text" empty value="" /></td>
- </tr>
- <tr>
- <th>企业官网:</th>
- <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>
- </tr>
- <tr>
- <td></td>
- <td>
- <input class="submit" type="submit" value="申请加盟" />
- </td>
- </tr>
- </tbody>
- </table>
- </form>
- </div>
- </div>
- </div>
- </div>
- <script type="text/javascript">
- var areaInstance = new areaSelect('province');
- areaInstance.init();
- </script>
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