document.write("<script language=\"javascript\" type=\"text/javascript\" src=\"http://www.changan-inkasso.com/statics/js/dialog.js\"></script><link href=\"css/table_form_contact.css\" rel=\"stylesheet\" type=\"text/css\" /><link href=\"http://www.changan-inkasso.com/statics/css/dialog.css\" rel=\"stylesheet\" type=\"text/css\" /><script type=\"text/javascript\" src=\"http://www.changan-inkasso.com/statics/js/dialog.js\"></script><div class=\"box\">    <!--<h5>表单向导</h5>--><div class=\"content\"><div class=\"myform_wrapper\"><form method=\"post\" action=\"http://www.changan-inkasso.com/index.php?m=formguide&c=index&a=show&formid=13&siteid=1\" name=\"myform\" id=\"myform\"><div class=\"table_form\" id=\"table_form\"><div class=\"table_form_div\"><label class=\"myform_label\">姓名 <font color=\"red\">*</font> </label><div><input type=\"text\" name=\"info[myform_name]\" id=\"myform_name\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">联系电话 <font color=\"red\">*</font> </label><div><input type=\"text\" name=\"info[myform_tele]\" id=\"myform_tele\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">电子邮箱 <font color=\"red\">*</font> </label><div><input type=\"text\" name=\"info[myform_email]\" id=\"myform_email\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">邮政编码 <font color=\"red\">*</font> </label><div><input type=\"text\" name=\"info[myform_postcode]\" id=\"myform_postcode\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">公司名称 <font color=\"red\">*</font> </label><div><input type=\"text\" name=\"info[myform_firmname]\" id=\"myform_firmname\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">合作意向 <font color=\"red\">*</font> </label><div><select name=\'info[myform_cooperation]\' id=\'myform_cooperation\'><option value=\"1\" >国内保理</option><option value=\"2\" >国际保理</option><option value=\"3\" >资产管理</option></select>  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">公司地址 </label><div><input type=\"text\" name=\"info[myform_firmaddress]\" id=\"myform_firmaddress\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">主营业务 <font color=\"red\">*</font> </label><div><input type=\"text\" name=\"info[myform_mainbusiness]\" id=\"myform_mainbusiness\" size=\"50\" value=\"\"  class=\"input-text\"  >  </div></div><div class=\"table_form_div\"><label class=\"myform_label\">需求描述 <font color=\"red\">*</font> </label><div><textarea name=\'info[myform_requirement]\' id=\'myform_requirement\' style=\'width:%;height:100px;\'   ></textarea>  </div></div><div><div class=\"submit ib\"><input type=\"submit\"  name=\"dosubmit\" id=\"dosubmit\" class=\"myform_submit\" value=\" 发送 \"></div> </div><div class=\"myform_tip\"><font color=\"red\">*</font>为必填项<br/>我们将会收到您提交的表单，而且您的私密信息只会用于让长安银科更快捷方便地联系您。</div></div></form></div></div></div>");