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<!DOCTYPE HTML>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Ty-Gard 2000 - 申请表</title>
<link href="../css/frameshadow.css" rel="stylesheet" type="text/css">
</head>
<body>
<form action="includes/request-form.php" method="post">
<fieldset>
<input type="text" onfocus="if(this.value=='Name') this.value='';" onblur="if(this.value=='') this.value='Name';" value="姓名" id="email" name="name" />
</fieldset>
<fieldset>
<input type="text" onfocus="if(this.value=='Email') this.value='';" onblur="if(this.value=='') this.value='Email';" value="Email" name="email" />
</fieldset>
<fieldset>
<input type="text" onfocus="if(this.value=='Company') this.value='';" onblur="if(this.value=='') this.value='Company';" value="关于我们" name="company" />
</fieldset>
<fieldset>
<input type="text" onfocus="if(this.value=='Address') this.value='';" onblur="if(this.value=='') this.value='Address';" value="地址" name="address" />
</fieldset>
<fieldset>
<input type="text" onfocus="if(this.value=='Phone') this.value='';" onblur="if(this.value=='') this.value='Phone';" value="电话" name="phone" />
</fieldset>
<div class="clear"></div>
<div class="colIzq">
<h2>手册</h2>
<label style="margin-left:0;">
<input type="checkbox" name="brochureTygard" value="是" id="CheckboxGroup1_0">
<span>Ty-Gard</span></label>
<label>
<input type="checkbox" name="brochureTypatch" value="是" id="CheckboxGroup1_1">
<span>Ty-Patch</span></label>
<label>
<input type="checkbox" name="brochureToolkit" value="是" id="CheckboxGroup1_2">
<span>Toolkit</span></label>
<label style="margin-left:0;">
<input type="checkbox" name="brochureContactMe" value="是" id="CheckboxGroup1_3" >
<span>请代表联系我</span></label>
</div>
<div class="colDer">
<h2>视频</h2>
<label>
<input type="checkbox" name="demonstrationDVD" value="是" id="CheckboxGroup2_0">
<span>演示dvd</span>
</label>
</div>
<div class="clear"></div>
<fieldset>
<label style="float:none;">
<textarea name="note" onfocus="if(this.value=='Note') this.value='';" onblur="if(this.value=='') this.value='Note';" >备注</textarea>
</label>
</fieldset>
<input type="submit" value="提交表格">
<div class="clear"></div>
</form>
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var DID=92338;
var pcheck=(window.location.protocol == "https:") ? "../[email protected]/live.js":"../stats.visistat.com/live.js";
document.writeln('<scr'+'ipt src="'+pcheck+'" type="text\/javascript"><\/scr'+'ipt>');
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</script>
<!--VISISTAT SNIPPET//-->
</body>
</html>