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<!DOCTYPE html>
<html lang="tc-HK" prefix="og: http://ogp.me/ns#">
<head>
<title>AMM | 参与者注册</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="AMM" />
<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/pagelogo.png">
<!-- my css -->
<link rel="stylesheet" href="../css/reset.css">
<link rel="stylesheet" href="../css/style.css">
<link rel="stylesheet" href="../css/responsive.css">
</head>
<body>
<div class="form">
<div class="form_header">
<img src="../img/header_bg.png">
</div>
<!-- form container -->
<div class="form_container" style="background-image: url('../img/fomr_bg.jpg');">
<div class="fullrow text-center mt-10"><img src="../img/swiss_flag.jpg" class="swissflag"></div>
<h1>瑞士教育及贵族学校之中国VIP圆桌会议</h1>
<h1>参与者注册</h1>
<hr class="mt-20 mb-30" />
<form method="post" action="success.php">
<div class="rowInput">
<div class="Title"><label>参会家长姓名</label></div>
<div class="inputFiled">
<input type="text" class="form-control">
</div>
</div>
<div class="rowInput">
<div class="Title"><label>行业/职业</label></div>
<div class="inputFiled">
<input type="text" class="form-control">
</div>
</div>
<div class="rowInput">
<div class="Title"><label>联系方式 (手机)</label></div>
<div class="inputFiled">
<input type="number" class="form-control">
</div>
</div>
<div class="rowInput">
<div class="Title"><label>联系方式 (微信)</label></div>
<div class="inputFiled">
<input type="text" class="form-control">
</div>
</div>
<div class="rowInput">
<div class="Title"><label>电子邮箱</label></div>
<div class="inputFiled">
<input type="text" class="form-control">
</div>
</div>
<div class="rowInput">
<div class="Title"><label>参会地点</label></div>
<div class="inputFiled filterRow">
<input id="location-01" name="location" type="radio">
<label for="location-01">11月5日 - 上海</label>
<input id="location-02" name="location" type="radio">
<label for="location-02"> 11月6日 - 杭州</label>
<input id="location-03" name="location" type="radio">
<label for="location-03">11月7日 - 深圳</label>
<div class="clear"></div>
<div class="mt-10" id="Shanghai-row">
<input id="Shanghai-01" name="location-time" type="radio">
<label for="Shanghai-01">01:30 pm - 03:00 pm场</label>
<input id="Shanghai-02" name="location-time" type="radio">
<label for="Shanghai-02">03:30 pm - 05:00 pm场</label>
</div>
<div class="mt-10" id="Hangzhou-row" style="display:none">
<input id="Hangzhou-01" name="location-time" type="radio">
<label for="Hangzhou-01">02:00 pm - 03:30 pm场</label>
<input id="Hangzhou-02" name="location-time" type="radio">
<label for="Hangzhou-02">05:00 pm - 06:30 pm场</label>
</div>
<div class="mt-10" id="Shenzhen-row" style="display:none">
<input id="Shenzhen-01" name="location-time" type="radio">
<label for="Shenzhen-01">10:00 am - 11:30 am场</label>
<input id="Shenzhen-02" name="location-time" type="radio">
<label for="Shenzhen-02">02:30 pm – 05:00 pm</label>
<input id="Shenzhen-03" name="location-time" type="radio">
<label for="Shenzhen-03">06:00 pm – 08:00 pm场</label>
</div>
</div>
</div>
<div class="rowInput">
<div class="Title"><label>申请学生姓名</label></div>
<div class="inputFiled">
<input type="text" class="form-control">
</div>
</div>
<div class="rowInput">
<div class="Title"><label>申请学生出生年月</label></div>
<div class="inputFiled">
<select class="form-control-half fl">
<option disabled selected>年份</option>
<option value="2013">2013年</option>
<option value="2012">2012年</option>
<option value="2011">2011年</option>
<option value="2010">2010年</option>
<option value="2009">2009年</option>
<option value="2008">2008年</option>
<option value="2007">2007年</option>
<option value="2006">2006年</option>
<option value="2005">2005年</option>
<option value="2004">2004年</option>
<option value="2003">2003年</option>
<option value="2002">2002年</option>
<option value="2001">2001年</option>
<option value="2000">2000年</option>
<option value="1999">1999年</option>
<option value="1998">1998年</option>
<option value="1997">1997年</option>
</select>
<select class="form-control-half fr">
<option disabled selected>月份</option>
<option>1月</option>
<option>2月</option>
<option>3月</option>
<option>4月</option>
<option>5月</option>
<option>6月</option>
<option>7月</option>
<option>8月</option>
<option>9月</option>
<option>10月</option>
<option>11月</option>
<option>12月</option>
</select>
<div class="clear"></div>
</div>
</div>
<div class="rowInput">
<div class="Title"><label>性别</label></div>
<div class="inputFiled filterRow">
<input id="male" name="gender" type="radio">
<label for="male">男</label>
<input id="female" name="gender" type="radio">
<label for="female">女</label>
</div>
</div>
<div class="rowInput mt-10 text-right">
<button class="fade" type="reset">重填</button>
<button class="fade" type="submit">递交</button>
<div class="clear"></div>
</div>
</form>
<div class="clear"></div>
</div>
<!-- end container -->
</div>
<!-- JS -->
<script src="../js/jquery.js"></script>
<script src="../js/script.js"></script>
</body>
</html>
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