document.writeln('<style>')
document.writeln('.upfile{width:173px; height:34px; border:1px solid #E7E7E7; background:#fff; color:#b6b5b5; text-indent:10px; font-size:13px; font-family:\"Microsoft Yahei\"; }</style>')
document.writeln('<iframe src=\"about:blank\" name=\"hidform2\" style=\"width:0px;height:0px;display:none\"></iframe>')
document.writeln('<script src=\"/ks_inc/common.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<form name=\"myform2\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c(2));\"  target=\"hidform2\" method=\"post\"> ')
document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"2\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"2855\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td style=\"color:#fff; font-size:20px; font-family:\'Mirosoft Yahei\';\">立即预约</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:173px\" id=\"KS_xs\" name=\"KS_xs\"  onFocus=\"this.select();\"value=\"填写姓名\">  </td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:173px\" id=\"KS_xx\" name=\"KS_xx\"  onFocus=\"this.select();\"value=\"填写手机号\"></td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:173px\" id=\"KS_se\" name=\"KS_se\"  onFocus=\"this.select();\"value=\"填写孩子年龄\"></td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_sw\" style=\"width:156px; height:38px; line-height:38px; border:1px solid #E7E7E7;\" name=\"KS_sw\"><option value=\"请选择校区\" selected>请选择校区</option><option value=\"溧阳校区\">溧阳校区</option><option value=\"江宁校区\">江宁校区</option></select> </td>')
document.writeln('  <td><input type=\"submit\" value=\"和大家一起学功夫\" name=\"submit1\"  style=\"background:#e52219; border:none; width:170px; height:38px; border-radius:3px; color:#fff;font-family:\'Microsoft Yahei\';font-size:14px;\"></td>')
document.writeln('  ')
document.writeln('  ')
document.writeln(' </tr>')
document.writeln(' ')
document.writeln('</table>')
document.writeln('</form>')
document.writeln('')