律师咨询表单

<form action="/plus/diy.php" enctype="multipart/form-data" method="post">

<input type="hidden" name="action" value="post">

<input type="hidden" name="diyid" value="1">

<input type="hidden" name="do" value="2">

<table style="width:97%;" cellpadding="0" cellspacing="1">

<tbody><tr>

  <td align="right" valign="top">姓名：</td>

  <td><input type="text" name="name" id="name" style="width:250px" class="intxt" value="">

</td>

</tr>

<tr>

  <td align="right" valign="top">手机：</td>

  <td><input type="text" name="phone" id="phone" style="width:250px" class="intxt" value="">

</td>

</tr>

<tr>

  <td align="right" valign="top">地区：</td>

  <td><input type="text" name="diqu" id="diqu" style="width:250px" class="intxt" value="">

</td>

</tr>

<tr>

  <td align="right" valign="top">律师：</td>

  <td><input type="text" name="lvshi" id="lvshi" style="width:250px" class="intxt" value="">

</td>

</tr>

<tr>

  <td align="right" valign="top">详情：</td>

  <td><textarea name="anqing" id="anqing" style="width:90%;height:80"></textarea>

</td>

</tr>

<input type="hidden" name="dede_fields" value="name,textchar;phone,textchar;diqu,textchar;lvshi,textchar;anqing,multitext">

<input type="hidden" name="dede_fieldshash" value="9cd4b3cd76f1061f27b4a03c277ffb61"></tbody></table>

<div align="center" style="height:30px;padding-top:10px;">

<input type="submit" name="submit" value="提 交" class="coolbg">

&nbsp;

<input type="reset" name="reset" value="重 置" class="coolbg">

</div>

</form>