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<!DOCTYPE html>
<html lang="tc-HK" prefix="og: http://ogp.me/ns#">
<head>
<title>愛華時商店 - Alfex Watches</title>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=0">
<meta name="description" content="web_description">
<meta property="og:type" content="website" />
<meta property="og:url" content="web_domain" />
<meta property="og:title" content="web_title" />
<meta property="og:description" content="web_description" />
<meta property="og:image" content="web_img" />
<meta property="og:site_name" content="Web" />
<meta name="twitter:card" content="summary" />
<meta name="twitter:description" content="web_description" />
<meta name="twitter:title" content="web_title" />
<meta name="twitter:image" content="web_img" />
<link rel="shortcut icon" href="../img/favicon.ico">
<link rel="stylesheet" href="../css/osicons.css">
<!-- my css -->
<link rel="stylesheet" href="../css/reset.css">
<link rel="stylesheet" href="../css/animations.css">
<link rel="stylesheet" href="../css/navbar.css">
<link rel="stylesheet" href="../css/slick.css">
<link rel="stylesheet" href="../css/slick-theme.css">
<link rel="stylesheet" href="../css/style.css">
<link rel="stylesheet" href="../css/responsive.css">
</head>
<body>
<!-- sidemenu -->
<?php include 'include/sidemenu.php';?>
<!-- end of sidemenu -->
<div class="wrapper">
<!-- header -->
<?php include 'include/header.php';?>
<!-- end of header -->
<!-- pagelocation -->
<div class="pagelocation">
<div class="container">
<div class="location">
<a href="#">主頁</a> / <span>保養登記</span>
<h2>保養登記</h2>
</div>
</div>
</div>
<!-- end location -->
<div class="subcontent static">
<div class="container">
<h3>感謝選購ALFEX手錶</h3>
<p>ALFEX是一家以設計為注意理念的公司。 品牌的價值觀是以成就自信，熱情，直率和挑戰，把這些價值觀結合起來，讓我們開發的手錶更具引領潮流。 所以你和我們都敢於與眾不同。</p>
<p>為提供較好的服務給客戶，我們誠摯地要請把您的購買記錄註冊到我們的系統中，以幫助我們對客戶提供更佳的售後服務和協助。</p>
<hr/>
<h3>保養登記</h3>
<div class="registerform form">
<div class="form_row_with-margin">
<div class="form-half">
<div class="form_row_with-margin">
<div class="col-Title optionstyle">
<h4>稱呼*</h4>
<input id="gender_male" name="gender" type="radio">
<label for="gender_male">先生</label>
<input id="gender_female" name="gender" type="radio">
<label for="gender_female">女士</label>
</div>
<div class="col-Name">
<h4>簡稱*</h4>
<input type="text" class="form-control">
</div>
</div>
</div>
<div class="form-half">
<h4>聯絡電話*</h4>
<input type="number" class="form-control">
</div>
</div>
<div class="form_row_with-margin">
<div class="form-half">
<h4>電子郵件*</h4>
<input type="mail" class="form-control">
<p>如果您希望我們通過電子郵件聯擊，請提供電子郵件地址。</p>
</div>
<div class="form-half">
<h4>出生日期*</h4>
<input type="date" class="form-control">
</div>
<div class="clear"></div>
</div>
<div class="form_row_with-margin">
<div class="form-half">
<h4>手錶型號*</h4>
<input type="text" class="form-control">
<p>請從手錶背面找到4位數的手錶型號</p>
</div>
<div class="form-half">
<h4>購買日期*</h4>
<input type="date" class="form-control">
<p>(請注意，如果您無法提供購買日期的證明，你將無法享用2年的國際保用服務。保用服務不包括使用不當所造成的損壞)</p>
</div>
<div class="clear"></div>
</div>
<div class="form_row_with-margin">
<div class="form-half">
<h4>店舖名稱*</h4>
<select class="form-control">
<option>香港分店</option>
</select>
</div>
<div class="form-half">
<h4>發票編號*</h4>
<input type="text" class="form-control">
</div>
<div class="clear"></div>
</div>
<div class="form_row_with-margin">
<div class="form-half">
<h4>上傳發票紀錄*</h4>
<div class="uploader">
<span class="uploadicon"><i class="icon-uploadcloud"></i> 上載檔案</span>
<img id="preview" src="" class="previewIMG">
<input type="file" onchange="readURL(this);">
</div>
</div>
<div class="clear"></div>
</div>
<div class="form_row mt-20">
<input type="submit" class="form-control tc" value="提交">
</div>
</div>
</div>
</div>
<div class="clear"></div>
<!-- footer -->
<?php include 'include/footer.php';?>
<!-- end of footer -->
</div>
<!-- JS -->
<script src="../js/jquery.js"></script>
<!-- responsive images -->
<script type="text/javascript" src="../js/responsiveimages.js"></script>
<!-- animate js css -->
<script type="text/javascript" src="../js/js_animate.js"></script>
<!-- slick -->
<script type="text/javascript" src="../js/slick.min.js"></script>
<script src="../js/script.js"></script>
<script type="text/javascript">
</script>
</body>
</html>
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