document.writeln('<iframe src=\"about:blank\" name=\"hidform5\" 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=\"myform5\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c(5));\"  target=\"hidform5\" 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=\"5\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"2\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"739\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\" style=\"text-align:left\">您的姓名：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:400px\" id=\"KS_xingming\" name=\"KS_xingming\" value=\"\"><span class=\"formstrck5\" id=\"您的姓')
document.writeln('名|%|KS_xingming|%|1\" style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\" style=\"text-align:left\">联系电话：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:400px\" id=\"KS_dh\" name=\"KS_dh\" value=\"\"><span class=\"formstrck5\" id=\"联系电话|%|KS_dh|%|1\" ')
document.writeln('style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\" style=\"text-align:left\">电子邮箱：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:400px\" id=\"KS_youx\" name=\"KS_youx\" value=\"\"><span class=\"formstrck5\" id=\"电子邮箱|%|KS_youx|%|1\" ')
document.writeln('style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\" style=\"text-align:left\">联系地址：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:400px\" id=\"KS_lianxd\" name=\"KS_lianxd\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\" style=\"text-align:left\">您的留言：</td>')
document.writeln('  <td><textarea style=\"width:600px;height:100px\" rows=\"5\" id=\"KS_aaaa\" name=\"KS_aaaa\"></textarea>  </td>')
document.writeln('</tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"提交加盟申请\" name=\"submit1\" style=\"height:40px; width:130px; line-height: 40px; color:#333; ')
document.writeln('background: #f37c06; border:none; font-size:16px; color:#fff;  font-family:微软雅黑\"></td></tr>')
document.writeln('</table>')
document.writeln('</form>')