33 lines
1.3 KiB
HTML
33 lines
1.3 KiB
HTML
<extend name="Public:common" />
|
|
<block name="main">
|
|
<div class="gallery">
|
|
<div class="col-md-offset-2">
|
|
<h2><strong>联系方式</strong></h2>
|
|
<hr style="width:80%" class="col-md-offset-0"/>
|
|
<h5><strong>请您准确填写您的联系方式，以便我们能够准确为您邮寄兑换的礼品。</strong></h5><br/>
|
|
|
|
<form method="post" action="{:U('info/update')}">
|
|
<div class="form-group">
|
|
<label>姓名：</label>
|
|
<input type="text" name="realname" class="form-control" style="width:50%" placeholder="请输入姓名">
|
|
</div>
|
|
<div class="form-group">
|
|
<label>邮编：</label>
|
|
<input type="text" name="zipcode" class="form-control" style="width:50%" placeholder="请输入邮编">
|
|
</div>
|
|
<div class="form-group">
|
|
<label>住址：</label>
|
|
<input type="text" name="location" class="form-control" style="width:50%" placeholder="请输入住址">
|
|
</div>
|
|
<div class="form-group">
|
|
<label>电话：</label>
|
|
<input type="text" name="tel" class="form-control" style="width:50%" placeholder="请输入电话">
|
|
</div>
|
|
<!--<div class="form-group">
|
|
<input type="hidden" name="user_id" value="">
|
|
</div>-->
|
|
<button type="submit" class="btn btn-default">提交</button>
|
|
</form>
|
|
|
|
</div>
|
|
</block> |