document.writeln('<iframe src=\"about:blank\" name=\"hidform5\" ')
document.writeln('style=\"width:0px;height:0px;display:none\"></iframe>')
document.writeln('<script src=\"/ch/ks_inc/common.js\"></script>')
document.writeln('<script src=\"/ch/ks_inc/form_ck.js\"></script>')
document.writeln('<form name=\"myform5\" action=\"/ch/plus/form/form.asp\" ')
document.writeln('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=\"0\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"0\" name=\"d\"/>')
document.writeln('<input type=\"hidden\" value=\"{$ToUserName}\" id=\"tousername\" ')
document.writeln('name=\"tousername\"/>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">E-Mail：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:93%\" ')
document.writeln('id=\"KS_email\" name=\"KS_email\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">内容：</td>')
document.writeln('  <td><textarea style=\"width:93%;height:100px\" rows=\"5\" id=\"KS_nl\" ')
document.writeln('name=\"KS_nl\"></textarea>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Name：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:93%\" ')
document.writeln('id=\"KS_xm\" name=\"KS_xm\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">Phone：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:93%\" ')
document.writeln('id=\"KS_dh\" name=\"KS_dh\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td class=\"lefttdbg\" align=\"right\">Verify：</td><td><input ')
document.writeln('name=\"Verifycode\" id=\"Verifycode\" type=\"text\" name=\"textbox\" size=5>')
document.writeln('<span style=\"color:#999\">')
document.writeln('Please enter the characters in the below figure')
document.writeln('</span><br/><IMG ')
document.writeln('style=\"cursor:pointer\" src=\"/ch/plus/verifycode.asp\" ')
document.writeln('onClick=\"this.src=\'/ch/plus/verifycode.asp?n=\'+ Math.random();\" ')
document.writeln('align=\"absmiddle\"></td></tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" ')
document.writeln('value=\"Submit\" name=\"submit1\"></td></tr>')
document.writeln('</table>')
document.writeln('</form>')
document.writeln('<style>')
document.writeln('	.lefttdbg {width:60px;}')
document.writeln('</style>')
document.writeln('')