document.writeln('<iframe src=\"about:blank\" name=\"hidform9\" 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=\"myform9\" action=\"/plus/form/form.asp\" onSubmit=\"return(form_c(9));\"  target=\"hidform9\" 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=\"9\" name=\"id\"/>')
document.writeln('<input type=\"hidden\" value=\"117\" name=\"m\"/>')
document.writeln('<input type=\"hidden\" value=\"17\" 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\">课程选择：</td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_kechengxuanz\" style=\"width:400px\" name=\"KS_kechengxuanz\"><option value=\"渐进课程\">渐进课程</option><option value=\"棱镜课程\">棱镜课程</option><option value=\"帕斯卡培训\">帕')
document.writeln('斯卡培训</option></select>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">开班日期：</td>')
document.writeln('  <td><select class=\"upfile\" id=\"KS_kbrqqqq\" style=\"width:400px\" name=\"KS_kbrqqqq\"><option value=\"12/2017\">12/2017</option><option value=\"01/2018\">01/2018</option><option value=\"02/2018\">02/2018</option>')
document.writeln('</select>  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">姓名：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:400px\" id=\"KS_nameeee\" name=\"KS_nameeee\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln(' <tr class=\"tdbg\">')
document.writeln('  <td align=\"right\" class=\"lefttdbg\">单位：</td>')
document.writeln('  <td><input type=\"text\" maxlength=\"255\" class=\"upfile\" style=\"width:400px\" id=\"KS_danweip\" name=\"KS_danweip\" value=\"\">  </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:400px\" id=\"KS_dianhuawre\" name=\"KS_dianhuawre\" value=\"\">  </td>')
document.writeln('</tr>')
document.writeln('<tr class=\"tdbg\"><td class=\"lefttdbg\" align=\"right\">验证码：</td><td><input name=\"Verifycode\" id=\"Verifycode\" type=\"text\" name=\"textbox\" size=5><IMG ')
document.writeln('style=\"cursor:pointer\" src=\"/plus/verifycode.asp\" onClick=\"this.src=\'/plus/verifycode.asp?n=\'+ Math.random();\" align=\"absmiddle\"><span style=\"color:#fff\">请输入验证码</span></td></tr>')
document.writeln('<tr><td colspan=\"2\" class=\"subtdbg\" align=\"center\"><input type=\"submit\" value=\"确认提交\" name=\"submit1\"></td></tr>')
document.writeln('</table>')
document.writeln('</form>')
document.writeln('')