document.writeln('<script src=\"/ks_inc/lhgdialog.js\"></script>')
document.writeln('<script src=\"/ks_inc/form_ck.js\"></script>')
document.writeln('<table width=\"100%\" border=\"0\" cellspacing=\"2\" cellpadding=\"1\">')
document.writeln('<form name=\"myform\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c());\"  method=\"post\"> ')
document.writeln('<input type=\"hidden\" value=\"Save\" name=\"action\"/>')
document.writeln('<input type=\"hidden\" value=\"5\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"1\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"2976\" 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\">联系人：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\"  style=\"width:200px\" id=\"KS_s_name\" name=\"KS_s_name\" value=\"\"><span class=\"formstrck\" id=\"KS_s_name\" ')
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\">电话：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:200px\" id=\"KS_s_phone\" name=\"KS_s_phone\" value=\"\"><span class=\"formstrck\" id=\"KS_s_phone\" ')
document.writeln('style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln('')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">留言内容：</td>')
document.writeln('  <td><textarea style=\"width:300px;height:100px\" rows=\"5\" id=\"KS_content\" name=\"KS_s_content\"></textarea><span class=\"formstrck\" id=\"内容|%|KS_content|%|2\" ')
document.writeln('style=\"display:none\"></span><font color=\"red\"> * </font>  </td>')
document.writeln('</tr>')
document.writeln('')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td></tr>')
document.writeln('</form>')
document.writeln('</table>')