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- <div class="w1200 msg">
- <h3>选择赢未来<p>今天的加盟就是明天辉煌的起点</p></h3>
- <form method="post" id="contact-form" action="<?php echo admin_url('admin-ajax.php'); ?>">
- <ul>
- <li class="rename"><span><em>*</em> 联系人:</span><input id="rename" type="text" required name="comment_author" maxlength="30" placeholder=" 请输入姓名 "></li>
- <li class="tel"><span><em>*</em> 联系电话:</span><input id="phone" type="number" required name="comment_author_phone" maxlength="11" placeholder=" 请输入电话号码 "></li>
- <li class="addr">
- <span>加盟地区:</span>
- <input type="text" name="comment_provinces" maxlength="50" placeholder=" 请输入省份 ">
- <input type="text" name="comment_city" maxlength="50" placeholder=" 请输入城市 " style="margin: 0px 16px;">
- <input type="text" name="comment_area" maxlength="50" placeholder=" 请输入区域 ">
- </li>
- <!-- <li class="company">
- <span>主营项目:</span>
- <input type="text" name="comment_compname" maxlength="300" placeholder=" 请输入主营项目 ">
- </li> -->
- <li class="text"><span>备注留言:</span><textarea name="comment" maxlength="300" placeholder="请输入留言信息(最多300字符) "></textarea></li>
- <input type="hidden" name="action" value="submit_custom_comment">
- <input type="hidden" name="comment_post_ID" value="367" id="comment_post_ID">
- <input type="hidden" name="comment_author_IP" value="<? echo $_SERVER['REMOTE_ADDR']; ?>" id="comment_author_IP">
- <li class="btn"><button type="submit">马上提交</button></li>
- </ul>
- </form>
- </div>
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